HomeMy WebLinkAboutPermit Fence 1994-04-29SPNINGFIELO
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FBNCE PBRHIT APPLICATTON
CITY OF SPRTNGFIBLD
BUILDING SAFETY DIVISTON
225 North Fifth StreetSpringfield, Oregon 91477 0ffice:
INSPECTION LINE:
Job Location:
Tax Lot {t: 0 5b0
Owner:
Address:
Cl ty:
Value of Fence:,00
Con t rac tor/fns taIler:
Fence Permit is 95.00
Phone #: rl A[I.P'I1 v
zi p:'lrl
Phone #:
State: 0 I{
Address:
Ci ty:
Construction Contraetors Registration #:
SignE re
FOR OFFTCE USE
Date of Application: r'-7
Receipt lf fssued By:
Total Amount Collected, , aG)
Zipt
_Expi res :
+-q Ai
Da te
JOB #:
State:
By signing this permit/applica,iglr-r agree to carr for an inspection once mvfence has been construct"a tzzo-slogl. "i-"r"o stated that all information on;:i:,riH:i;":il:'i:ilii.i:";:;*i;;:*",lri"i":i:. provided vi,h the sprrngrieia
Checked for Delinquencies:Checked for Hi,storieal Starrrs:
726-3759
726-37 69
Assessors Mrp #t rIO2 n
n.