HomeMy WebLinkAboutPermit Fence 1994-04-06FBNCE PIJRHIT APPLTCATION
CITY OF SPRTNGT?IELD
BUILDING SAFETY DIVISION
-f / ?a/
SPFI'r.GFIELD
0ffice:
INSPECTTON LINE:
%t
lB
\@'"P\
225 North Fifth StreerSpringfield, Oregon 97477
726-3759
726-37 69
CITY OF
Job Location:
Assessor Ma t+
Owner:
Address:
Ci ty
Tax Lot lt:
Phone #:
State:zi p!
a Value of Fence:Fence Permit is $5.00
) Con tractor/Ins tal1er :
Address: fAiT*AJ ala Phone #:I
Ci ty:State:
-zip:Construction Contractors Registration #: _Expires:
By signing thls permit/application, I agree to eaIl for an inspectlon once myfence has been coustrtrcted (726-3769), I also stated that aII lnformatlon onthis applicatlon/permlt ls correct and that I vas provlded vith the SpringfieldDevelopment code requirements for fence standards.
gnatur te
FOR OFFICE USE
t
b
Date of Application:
Recej pt #
TotaI Amount CoIlected:
JoB #: ?1O /V2
lssued By:
Checked for Delinquencies:
ce
Checked for Historieal Status:
)?- /' //
,Z*-..f