HomeMy WebLinkAboutPermit Fence 1990-03-05SPFIiIGFI ELO
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION Uut e
225 Fifth StreetSpringfield, Oregon 97 477
Off i ce:
INSPECTION LINE:
7 26-37 59
726-3769
OREGO'VCITY OF SPR
Job Location: 111- J. 4S+
Assessors Map #:'j>-Df -,-
0wner:
Address:t3__
City:State:
Tax Lot #:81 oo
Phone #:
Fence Permit is $5.00
gK ,q1L/7 F
4
L1 p
1cD'9Value of Fence:
Contractor/ I ns tal I er :
Address:
/\-l ,int n
Phone #:
City: State:Li p:
Construction Contractors Registration #: Ex pires:
By signing this permit/appf iqqt'ioq, I agree to cal I for an 'inspect'ion once my
fence has been constructed (726-3769). I also state that all information on-th'is application/permit'is correct and that I was provided with the Springfield
Development Code requ'irements for fence standards.
3-{-io
gna ure Date
FOR OFFICE USE
Date of Application:3-5'1o Job #:
Receipt #:Issued By:{lru-[rt *u
Total Amount Collected:5'o-D--
Checked for Del 'inquenci es:Checked for Historical Status: