HomeMy WebLinkAboutPermit Field Test & Inspection Report 1993-04-16225 North Fifth Street
Springfield, Oregon 97477
FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPFI]{GFIELE,
0ffice:
INSPECTION LINE:
7 26-37 59
726-37 69
CITY OF SPR'A'GFIELD, OREGO'V
Job Location: ! liSl So, / (& SA44 Sp,,,r,*{*J/
Assessors Map #:80a arlY -v----77-
Tax Lot *:oc
Owner:
Address: /aSz So, g-s 4 Streel
Ci ty:S ta te:
Value of Fence:OO Fence Permit is $5.00
Phone *:
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Contractor/Installer: A/^,,r* t, F P ttt
Address: PO Brru ) L k
Cityz laruc/l State:
Construction Contractors Registration #:
Phone *: bff c0 AL " 93t -3f zt
Zip: /)fsz
Expires 2 fnaril. 9t/
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By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information onthis application/permit is eorrect and that I vas provided vith the Springfield
Development code requirements for fence standards.
hotJ tA,lwsgnatureDate /-
FOR OFFICE USE
Date of App1i
Receipt #
TotaI Amount Collected:s-._--
JOB *:
Issued By:
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Checked for Delinqueneies:Checked for Historical. Status ,*'/
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