HomeMy WebLinkAboutPermit Fence 1995-05-02225 North Fifth Street
Springfield, Oregon 97477
PBNCE PBRUIT APPLICATION
CITT OP SPRINGFIBLD
BTIIII)ING SAFETI DIVISION
SPRINGFIELD
Office:
INSPECTION LINE:
726-37s9
726-3769
CITY OF OREGON
Job Location: I112 + t\11{ //IA fTI
Assesso.sMap*, /7A3 4 33 Tax Lot #: PO 2-
Ovner:(
Address:Oc4
Ci ty:lyl.m ,lA A t -/,State:
Value of Fence:
Con t rac tor/Ins taIler :
Address:
Ci ty:State:
Construction Contractors Registration #:
gnature
Date of Application:
Receipt #Issued By:
Total Amount Collectedt ;?
Phone *:-o
O, zip. 92/28a
Fence Permit is $5.00
Phone f:
zi p:
Expires:
Date
By signing this permit/application, I agree to caII for an inspection once myfence has been constructea (zzo-g769), r also stated that all information onthis applicatlon/permit is correct and that r vas provided vith the SpringfieldDeveropment code requirements for fence standards.
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JOB *:9z'>1/\-
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Checked for Delinqueneies:Checked for Historical Status:
fu*
FOR OFFICE USE