HomeMy WebLinkAboutPermit Fence 1994-08-05225 North Fifth StreetSpringfield, Oregon 97477
FENCE PERHTT APPLICATION
CITY OP SPRTNGFIELD
BUIU)ING SAFETY DIVISTON
SPRIt\lGFIELD
0ffice:
INSPECTTON LINE:
726-37s9
726-3769
CITY OF SPF,,VGFIELD, OBEGO'V
Job Location:(rq g N{3 2/i
Assessors Mrp #t
Ovner:
Address l2(6
6-Tax Lot {}:
Phone #: ? fe . 91DI
zip:q74 77
rV'l t s'l -a
OC-.9,{,
Ci ty:
Va1ue of Fence, ,/00 '.9
Cont rac torlfns taller:
Address:
Ci ty:
State O r ,
Fence Permit is 95.00
State t O t^
Construction Contractors Registration #:_Expires:
Xy signing this
fence has been cthis application
Development code
S
4
212'f Phone #:
Zipz ?7q 77
permit/apprication, r agree to carl for an inspection once myonstructed (726-3769). r arso stated that alr information ol/permit is correct and that r vas provided vith the springfieldrequirements for fence standards.
a
te
FOR OFFICE USE
JOB *:
fssued By:
Checked for Historical. Sta tu.s:
a
ture
Date of Application: B -fr
Receipt # /c/<3A
Tota1 Amount Collected fr e
Checked for Delinquenei e.s: