HomeMy WebLinkAboutPermit Fence 1990-01-10CITY OF OREGON
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRINGFIELO
Offi ce:
INSPECTION LINE:
225 Fifth Street
Springfield, Oregon 97 477
726-3759
7 26-37 69
Job Location:1\h
Assessors Map #:
-1 Ss,\*t
Tax Lot 0
Owner:
Address:37 Phone #z __-bb - 6l l s:
City:State:0PgGa ''i z:p:Q t +a1
Val ue of Fence , ) DODU'Fence Perm'it is $5.00 q6?
q
Contractor/Installer: /14Frru-r"l
Address:Phone #:
Ci ty:State:71 p:
Construction Contractors Reg'istration #:Ex p'ires :
By sign'ing this permit/appl'icat'ion, I agree to cal I for an inspection once my
fence has been constructed (726-3769). I also state that all informat'ion onthis application/permit is correct and that I was provided with the Springfield
Development Code requ'irements for fence standards.
/o 2o
g u a e
FOR OFFICE USE
Date of App'lication:b #:
Rece'i pt #:
r Il/
Total Amount Collected:
Issued By
5C,0
Checked for Del'inquencies: Lz€hecked for Historical Status: