HomeMy WebLinkAboutPermit Fence 1990-01-10FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRIN(iFIELD
Offi ce :
INSPECTION LINE:
J*--ry
225 Fifth Street
Springfie1d, 0regon 97 477
726-3759
726-3769
CITY OF OREGO'U
Job Locati on :
Assessors Map #:
S.: u j\ -'lrlt H+Tax Lot #:d
Owner:
Address:
City:State:
Value of Fence )O00
09
Contractor/ I ns ta I I er :
Address:
City:State:
Construction Contractors Registration #:
Phone #: A [.7 o J'
Zi p:9lt+c \
Fence Permit 'is $5.00 lltl
t\,Qo2 '
n
Phone #:
Z1 p:
Ex pires:
By s'igning this permit/app'lication, I agreefence has been constructed (726-3769). -I althis application/perm'it is correct and that
Development Code requirements for fence stan
to call for an inspect'ion once my
so state that all information on'I was provided with the Springfield
dards.
0gnaure
FOR OFFICE USE
Date of Application:ob #:
Issued By:
Total Amount Collected:
0
a
checked for Delinquencies, lf checked for Historical status, y'
Rece'ipt #:
(-