HomeMy WebLinkAboutPermit Fence 1991-09-17??5 Fifth Street
Springfield, 0regon 97 477
FENCE PERMIT APPLICATI
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRTilGFTELD
Offi ce:
INSPECTION LINE:
CITY OF OREGON
Job Location: 4
Assessors Map #:
0wner: -IAlrna.-1 F rs+L,--r---r)
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Tax Lot #:
Address: €i aS t b<rr:,.. ,.-Phone #: 1U-'rReS
Ci ty : <<.rr:..-<.f .<r A-State:r_2:Zi I qLqT)p-\ J
Value of Fence:@ Fence Permit is $5.00
{ea@a,Vlnstaller:S..=d \ ozar-.-n--
Address: L{7 r--, l.}. A-f F #Phcne #:I'
C i ty : apc ', ".-,!icr<\ State 2 (*-Zi p : 41.Lr77_-l-
Construction Contractors Registration #:Ex pires:a/,+
By signing this permit/application, I agree to call for an inspection once myfence has been constructed (7?6-3769). I also state that all information on-
this_appl'icat'ion/perm'it is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
/1 I
FOR OFFICE USE
a
Date of Appl icat'ion:q-23 -ql Job#, 4ll 113
Recei pt #: Zl3 8L
Total Amount Collected 5
By \9(or.-.--ssuedI
e
Checked for Del inquenci es: ts.Checked for Historical Status z (---
726-3759
726-3769
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