HomeMy WebLinkAboutPermit Fence 1995-05-02':-.
PBNCB PBRHIT APPLICATION
CITY OF SPRINGFIBLD
BTIILDING SATETY DIVISION
SPlrINGFIELD
0ffice:
INSPECTION LINE:
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225 North Fifth Street
Springfield, Oregon 97477
726-3759
726-3769
C'TY OF SPF OREGO'U
Job Location:a &
Assessors Hap *z /n^T-Z6-fr Tax Lot *t //*
Ovner:
Address:
Cl ty:
Phone #:
Fence Permit is $5.00
Zipz
Lres:
State:
Value of Fence:
-
Con trac tor/Ins taIIer :
Address:
Cl ty:State:
Construction Contractors Registration #:
Phone #:
By signing
fence has
this appli
Deve
S ture
- this permit/apprication, r agree to calr for an inspection once my
been constructed (726-3769). r also stated that arr information oncation/permit is correct and that I vas provided vith the Springfieldt code requirements for fence standards.
f-z
Date
JOB *:fo%?
Receip t + /7?29
Tota1 Amount Collected, ,fe
Issued By:
a
checked for Delinqueneies, I checked for Historical status, 7
4A - zip, ?2 /^^
FOR OFFICE USB
Date of Application, f,^2 .T
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