HomeMy WebLinkAboutPermit Fence 1991-06-10SPBlilGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth StreetSpringfield, Oregon 97 477
Offi ce:
INSPECTION L
CITY OF SPR"VGFIELD, OREGO'V
Job Locati on : 4n t il tt t-'sl
Assessors Map #:r-lca3 /aq Tax Lot #: ," SO /
0wner:
Address: 4Ot 39'j 9/.Phone #: 7qz ^3721
City:
Value of Fence:
I/',|'(/
Contractor/Installer: O t,,no r
Fence Permit is $5.00
State:Zi p . y'>mf,-
Address:9,4r*r
Construct'ion Contractors Registrat'ion #:
Phone #: -|,<'zi
Ex pires:
By sign'ing this perm'it/application, I
fence has been constructed (726-3769)this applicat'ion/perm'it is correct an
Development Code requ'irements for fen
to cal I for an inspection once mylso state that all information onI was provided w'ith the Springfield
ndards.
agree.Ia
d that
ce sta
gn a
FOR OFFICE USE
Date of Appf ication:
Receipt #:2o 3l
Total Amount Collected:
Job #:
Issued By:
{oo.)
Checked for Del'inquencies:Checked for H'istorical Status
Ctty: 9ta.nr itate: Zip:_