HomeMy WebLinkAboutPermit Fence 1991-08-02CITY OF SPF"VGF'ELD, OREGO'V
225 Fifth Street
Springfield, 0regon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRI]{GFIELO
0ffi ce:
INSPECTION LINE:
726-3759
726-3769
Job Locat'i on :
Assessors Map #:
0wner:, lt fa
ST Sf
State: C€-
Tax Lot #:
Phone #:@-z
Z1 p ,9fazt
Address:s+
City:
Value of Fence:1oa.cD
Contractor/ I nstal I er :u)
Address:
City:State:
Construction Contractors Reg'istration #:
Fence Permit is $5.00
Phone #:
Zi p:
Ex p i res:
By signing
fence has bthis appl ic
Deve I opment
een
ati
this permit/ap cat'ion , I
n s tru cte
permit i
26-3
agree_to call for an inspection once myI also state that all information on-that I was provided with the Springfield
e standards.
_A
pl'id(
SC
7
o
r uir
a 6
FOR OFFICE USE
Date of Appf ication:?r- z -
Receipt #: ?a 9, 12
Total Amount Collected:
Job #, 4pqab
Issued By: - .\O(s\*-
,- 09
5
ql
Checked for Delinquencies:Checked for Historical Status z L-z'(-t'