HomeMy WebLinkAboutPermit Fence 1996-02-06C'TY OF OREGON
FBNCE PERHIT APPLICATION
CITY OF SPRINGPIELD
BUII,DING SAFETY DI\ISION
SPRIlllGFIELE,
office:
INSPECTION LINE:225 North Fifth Street
Springfield, oregon 97477
726-3759
726-3769
Job Location:1i2-
Assessors Map #:Tax Lot *:
ovnen Af ct )-)2 Hl Y),/tat'U
Address:3 LN3ry Phone *:7"2 't-)72-
Zip:gyu z /Ci ty:iw 'rEA
Value of Fence, lAA ,a'
State:,:IJ
Fence Permit is $5.00
Con t rac tor/Ins taIIer :
Address:
er c, I /' ,4Al I ,'t ta D
Phone *:
Cityt State:zip:
construction contractors Registration *:Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769), I also stated that all information onthis applicatlon/permit is correct and that I vas provided vith the Springfleld
Development code requirements for fence standards.
/-/- r/
gnature Date
FOR OFFICE USE
Date of Application: 2*4?e5 JOB *:
Receipt #fssued By:
Total Amount Collected:
Checked for Delinqueneies:
e
Checked for Historical Status:
H
n./