HomeMy WebLinkAboutPermit Fence 1992-03-12CITY OF SPR"VGFIELD, OREGO'V
225 North Fifth Street
Springfield, Oregon 97477
FBNCE PERHIT APPLICATION
CITY OF SPRINGFIBLD
BUILDING SAFETY DIVISION
SPBIi|GFTELO
0ffice:
INSPECTION LINE:
726-3759
7 26-37 69
Job Location: ?rr+< A) ')^4 Al.,
Ovner:
Address: 3 OU< A)) t^,"t Phone *: 1 qU U -l Qct
Ci ty:State r dQ Zip:q1'+-7')
Value of Fence: lXSO 6<)Fence Permit is $5.00
Con t ractor/Ins talIer:
Address:Hq3 q Coro,Phone *: L9" - tlt)V
Ci ty:C( t.la 1^l State, OQ,zip:Q1.to)
cConstruction ContrZctors Registration *, GOO)4 Expires:s/s lq>
ture Date
FOR OFFICE USE
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed {726-3769). I also stated that a}l information on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
3Jr:\c^
Date of Application:
Receipt + bq'lb
3) r) \rr )JOB *:
Issued By:PB
Total Amount Collected: ( 1.1O
CheckedforDe1inqueneieS:-CheckedforHistorica1Stattts:
Assessors Map #, l-)0a a(-J+ rax Lot +, OO 40 I
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