HomeMy WebLinkAboutPermit Fence 1996-10-30rBNCE PBRHIT APPLICATION
CITY OF SPRINGTIELD
BUILDING SAFETY DIVISION
SPNINGFIELE,
Of f ice:
INSPECTION LINE:
%
225 North Fifth Street
Springfield, 0regon 97477
726-3759
7 26-37 69
Job Location:
Assessors Map f:
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6}- 05 Ooc)Tax Lot *: Sl CrD
Ovner:
Ci ty
,tL /'a (-<_.
Ad<lress, 32224 a CZ,-z-^t i 4-u-<tahone {l:
State:zip:
Value of [ence, 2 " OOO
Con t rac to r/fns taller:
Address:
Fence Permit is $5.00
trroc e2
Pl-rone *:
1,{/4(/
o0tt State , 0L zipz OoTA 0 O a--Ci ty:d/-IU
.on",***ilon tractors Registration *:oa 1)0Q >ires: 3-L/-?7
By signing this permit/application, I agree to call for an inspectlon once my
fence has been constructed (726-3769). I also stated that aII information on
this application/permit is correct and that I vas provided vith the Springfield
Develop ment code r equirements for fence standards.
a 3s "6Signa ture Date
FOR OFFICE USE
Checltcd for Dclinqttencies:
-1 U
Checlced for Ilistorical Stattts:
Date of Application:lo " jo
Receipt ll D 7
To taI Amor.tn t Co]lec ted :
JOB *:
Issued By:r)n4fr,Chad O
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