HomeMy WebLinkAboutPermit Fence 1997-06-25225 North Fifth StreetSpringfield, Oregon 97477
rENCE PBRHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRlNGFIELO
0ffice:
INSPECTION LINE:
726-3759
726-3769
Job Location:7t1t f71oa57v- RO
Assessors Hap S:)Tax Lot *:;?oo
ovner: f?o BERT R lco r NE tc-
Addresst 7t7t fT-l uRsrort R 0
Ci ty:
Phone *: ?yt-3o1-,
I EL State:Zipz QZ rt78
Value of Fence, $1O0. tO Fence Permit is $5.00
Con t rac tor/Ins taIler :R t(Z BurtDEz< -TAtc,
Address 6 tlaf U ER tDe a w4,Phone #:-/oz{
Cl ty:t Nef1516 ,statet o4 zipz ?7t/t Y
Constructlon Contractors Registration # z I I 3 O{V lres:
permit/application, I agrce to call for an ins pectlon once myonstructed (7 26-3769). I also stated that all informatlon on/permit is correct and that I vas provided vith the S pringf i eld
i remen ts r fence standards.
S gna tur te
FOR OFFICB USE
lly signing this
fence has been c
this application
Development code
Date of Application:JOB *
Receipt $L o Issued By:/nn
Total Amount Collected:(( oo
T q 7ffi{(,
Clrecked for Delinquenci "", h1W- Checked for Historical Status n(?-r---
a2l t
c ,/" r/q z
q/q/rs