HomeMy WebLinkAboutPermit Fence 1992-12-11SP'III\lGFIELE,
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth StreetSpringfield, 0regon 97 477
Off ice: 7?6'3759
INSPECTI0N LINE z 726-3769
-CITY OF OFEGO'U
Job Locat'ion: 38f J'o.92 ttr
Assessors Map #:
0wner ,6rr,uT
Tax Lot #:
-=/-.^-rl
Address: 377 3/ >r Phone #:-"/ _ S?y'l k/K.
city I Sna)t/4 4g/1 State:7)66a u^7i t 611ltp
Contractor/Installer: O o./
Addressr ? a 3/"
ci?:J,- ,{ab a s tatez Dc
Construction Contractors Reg'istration #: /// Lb
Value of Fence:
/L3J *Fence Perm'it is $5.00
Phone #:-.rsz-y'
Li p : 4 1//'/
Ex pires tDE! !!
I agree_to call for an inspection once my). I also state that all 'information on-
nd that I was provided with the Springfield
nce standards.
Ca
By signing this permit/app'lication,
fence has been constructed (726-3769this app'lication/permit 'is correct a
Development Code requirements for fe
-4"*.b z-2--
gn ure
FOR OFFICE USE
Date of Appf ication:Job #:
Receipt #:I s sued By:
Total Amount Cottected. 5.0
lo
checked for Delinquencies:_ checked for Historical Status:
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