HomeMy WebLinkAboutPermit Fence 1992-07-23SPFINGFTELD
CITY OF OREGO'V
FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
0ffice:
INSPECTION LINE:
726-3759
7 26-37 69
Job Location:
Assessors Map #:
Ovner:
Address:
Ci ty:
Value of Fence:
Con t rac tor /Ins tal.ler
Address:
Ci ty
'.4
Signature
Tax Lot it:
Phone *:6-gqz,
State:
S ta te:
FOR OI'FICE USE
Fence Perrni t is $5.00
Zipz
Plrone *, 74r/1d 3-"-g
z,ipz ?7t#,t'
Date
Construction Contracrors Registration tt, CyB 762{./txpires z //dU.?Z-
By signing this pernrit/application, I agree to call for an inspection once myfence has been constructed (726-3769). I also stated that all information onthis application/permit is correct and that I rya-s provided with the Springfielcl
Development code requirements for:. fence standards.
i, .1*,,/1/a,r-.-.--
Date of Application:
Receipt + ,Z 7/
Total Amount Collected:
JOB *:
Issued By:.Y-*-'\
1
Clrecked f or Delinquene i es : L-
1
Checked for Histor:ical Starrrs:
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