HomeMy WebLinkAboutPermit Fence 1991-06-06'.225 F ifth Street
Springfield, 0regon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRINGFIELO
Offi ce:
INSPECTION LINE:
7 26-37 59
7 26-37 69
Job Lo
Assess
0wner:
cati on :L)
ors Ma #Tax Lot #
Address: .L kl
City:State:
Value of Fence: Jp C,o. L+0
Contractor/ Instal I er :
Address:0 3C
Ci ty:State:
Construct'ion Contractors Registration #:
Phone #: 7 eL- "6 //
ip:e /
Fence Perm'it is $5.00
Phone #:2/6 -,fia/
(,
'ip:a 7 77
Ex pires:l/,-3t-qoo(:g
By signing this permit/applicatio!r-l agree-to call for an'inspect'ion once my
f ence has been ,[;;l;;;i'e[ ir16-576g ) .
-'r
ar so state thar ar r 'inf ormat'ion on
this applicat.ion/permit is correct aia that I was provided with the Sp.ingfie'ld
O.rifoph.ni Code i-equirements for fence standards.
(.
6 -,5 -? /
uate
FOR OFFICE USE
Oate of App lication Job /l:
Receipt #:Issued BY
Total Amount Col 'lected :lD .oo
a
Checked for De1 inquenci es :-Checked for Historical Status'.
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