HomeMy WebLinkAboutPermit Fence 1993-03-26225 North Fifth streetSpringfield, Oregon 97477
FBNCB PERHTT APPLICATION
CITY OP SPRINGFIELD
BUILDING SAFETY DIVISION
SPRINGFIELI)
0ffi ce :
INSPECTION LTNE:
726-3759
726-3769
C'TY OF SPRINGFIELD,OREGO'V
Job Location: S7{./), 3/r%
Assessors Map *:
Ovner:
Address:
Ci ty:
Value of Fence:ar-4
Con t rac tor/Ins taIIer;
Tax Lot #: A
Phone #: ? ?ft=?q>
zio: 72/hState:
Fence Permit is 95.00
Address:
Ci ty:
Phone #:
By signing this permit/applicatiglr r agree to c1r] {or.an inspection onee myfence has been constructua rzzo-glog>. -i-"r""
","a"a that ar1 information on;:i:,riIl;;":il:'i:;5:"jj";:*:;,:*",lri"i,n:.provided vi,h ,he sp,i"eri;ra
Construetion Contractors Registration lt:
\-
FOR OFFI CE USE
Date of Application:
Receipt #?f,rsued By:
S tate:Zio:
-
%Expires:
te
JOB #:
S d6 / 273
Tota1 Amount Collected: Z?_?,
checked for Derinqutrnci-
Checked for HistorieaL statu,s:
e
7
7/o.c
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