HomeMy WebLinkAboutPermit Fence 1996-04-26SPNINGFIELO
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FBNCE PBR}IIT APPLICATION
CITY OF SPRINGFIELD
BUII.,DING SAI'ETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-37s9
726-3769
Job Location:e z
Assessors Hap S, ,/€ -O > ,ef ,/2 Tax Lot f,:
Ovner:
Address:
Ci ty:
1>4<Phone *, -Z/ -@<
24. zip 7?228
a/*,/sc
S ta te:
Value of Fence:fta.P Fence Permit is $5.00
Con trac tor/Ins taller :
Address:Phone #:
Ci ty:State:.Zipt
Construction Contractors Registration #:.Expi res :
By signing this permit/application, I agree to caII for an inspection once my
fence lras been constructed (726-3769). I also stated that aII informatlon on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
h*r^-
g,ture Date
FOR OFFICE USE
Date of Application:_?
Receipt ll 2 /2 -
Total /rmount CoIlected: ,QG
JOB {:
Issued By:
?do**'>3
Chcclced f or Dclinqttenci es:Clrecked for Ilistorical Stattts:
(,/z-