HomeMy WebLinkAboutPermit Fence 1990-05-15225 Flfth Street
Springfield, Oregon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPIIIT{GFIELD
Offi ce:
INSPECTION LINE:
7 26-37 59
7 26-37 69
CITY OF OFEGO'V
Job Location: 1OO il l9
Assessors Map #:
Cr
Owner:
Add res s
Ci ty S,to-t*.,tq.
Value of Fence:41c OO
Contractor/Installer: Culvrl V-
Phone *z]tll- l?31
71 p:
Fence Permit is $5.00
l1D bbs>- t Tax Lot #: ) 43 oA
State : t'.*>4
Address:
Construction Contractors Registration #:
Phone #:
State:7i p:
Ex pires:
FOR OFFICE USE
Job #:
City:
By signing this p
fence has been cothis applicat'ion/
Development Code
n u
Date of Application:
ermit/appf ication, I agree to call for an 'inspection once my
nstructed (726-3769). I also state that all information on
permit is correct and that I was provided with the Springfield
requirements for fence standards.
e
s /(
Recei pt #z )1ca rt Issued By:
Total Amount Collected, 5 CO UL
Checked for Historical Status: yChecked for Del'inquenci.r t \-