HomeMy WebLinkAboutPermit Fence 1990-01-10SPEIl{GFIELE
C,ITY OF OREGO'V
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DiVISION
225 Fifth StreetSpringfield, 0regon 97 477
Off i ce:
INSPECTION LINE:
726-3759
726-3769
Job Location: 40 (,i-rg 6 Sou'Y\r qJ
Assessors Map #:Tax Lot #I
0wner:
Address:
City:
Value of Fence:
s \tf Phone #: /.d*-&7?\-
State:
Fence Permit is $5.00
q67"
) /.00 0L
trllt\
r1Contractor/Installer: D dngt-
Address: Phone #:
City:State:
Construction Contractors Reg'istration #
Li p:
Ex p'i res :
By s'ign'ing th'is permit/appf icat'ion, I ag
fence has been constructed (726-3769).
th'is appf ication/permit 'is correct and t
Development Code requ'irements for fence
o call for an inspect'ion once my
o state that all information on
was provided with the Springfie'ld
ards.
ree tI als
hat I
s tand
a Date
FOR OFFICE USE
Date of Appf icat'ion :l-
Receipt #:
Job #:q
Is 'd'&*
Total Amount Collected:
checked for Del inquenc'i es v checked for Historica] Status:v---
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