HomeMy WebLinkAboutPermit Fence 1992-06-26CITY OF EGOA'
SP'lT,tGFIELO
0ffice:
INSPECTION LINE:
%
rENCE PBRHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth StreetSpringfield, Oregon 97477
726-37s9
726-3769
Job Location:
Assessors Map *:iYo rax Lot *, 3lb O
Ovner:
Address:
Ci ty:
Phone *:
State: O Q Zip:q7q/"
Value of Fence, f'4 Fence Permit is $5.00
Contractor/Installer : /,4,'cha el .T lru Ozm elt r).O r?4 \)a -F tnci na
Addressz )8 rc 0 /,'u rt\r r Phone *:brp"//.o
Ci ty: /,State- O R Zipz q Tqoa
Construction Contractors Reglstration #:rJr JfJ ir"", JfJqfeF
By signing this permit/application, I agrce to caII for an inspectlon once myfence ltas been constructed (726-3769), I also stated that aI1 informatlon onthis application/permit is correct and that I vas provided vith the SpringfieldDevelopment code requirements for fence standards.
a
S gna ture Da te
FOR OFFICB USE
Date of Application:JOB *:o-rqq k
Receipt f,Issued By:
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TotaI Amount Collected:
clrecked for Delinqueneie.s, hA-fV- checked for Historical status r@-
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