HomeMy WebLinkAboutPermit Fence 1992-06-24225 North Fifth Street
Springfield, Oregon 97477
FENCE PERHIT APPLICATION
CITY OF SPRINGFIEI,D
BUILDING SAFETY DIVISION
SPRIXGF!ELE,
0ffice:
INSPECTION LINE:
726-3759
726-3769
CITY OF OREGON
Job Location:
Assessors Map *:/?"25^7 O* r'Z Tax Lot #: Df /aZ--
0vner:
Adclrtiss:
Ci ty:
.CL-
Phone #
State I ZT.A Zip: q 27> 2
vatue of Fence . 4zrzf &Fence Permit is $5.00
Con t rac t orl Ins tal ler :
Address Phone #:
Ci ty:State:Zipz
Construction Contractors Registration #:Expi res:
By signing this permit/app).ication, I agr-ee to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I vas provided vith the Springfield
Derrelopment code req rui rements f or f ence s tandards .r k2/-7AgnatureDate
Date of Applieation:-2
Receipt * ffi 5?1O Issued By:
Total Amount Collected 5 aD
JOB *:
Checked for liistorical Stattts:
T z?ot
FOR OFFICE USE
-4->
Cheeked for Delinquenei esz /'