HomeMy WebLinkAboutPermit Fence 1990-07-30225 Fitth Street
Springfield, Oregon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPR!NGFIELD
Offi ce:
INSPECTION LINE:
7 26-37 s9
7 26-37 69
rl SrJob Locati on:
Assessors Map #:tl ozb) zl Tax Lot Jl: 017 CJ cI
City:
Owner:
Address, blE N VZ^J 3-Phone *z a4 I =rgt D
$-lo alr.l.i -
State I n(Z-
Value of Fence:$ 5oo -6t,Fen ce Permi t 'is $ 5. 00
Contractor/Instal I er fi-lilhhl/
Address:Phone ii:
City:State:Zi p:
Construction Contractors Reg'istration //:Ex p'ires:
Zip , 42,+zgr-J
By signing this permit/appf ication, I ag
fence has been constructed (726-3769).
th'is application/permit is correct and t
Development Code requ'irements for fence
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FOR OFFiCE USE
Date of App t'icati on, a- lyTO
Receipt #: I 7Z t r-
Total Amount Collected , fl5
G^--'"--Issued By:
60
Job if :?nrt991
Checked for Delinquencies: t/ Checked for Historical Status: /
Permit No:7ow *l
Address:
STATEMENT:
INFORMATION NOTICE TO PROPERTY OWNERS
ABOUT CONSTRUCTION RESPONSIBILITIES
Note: Oregon Law, ORS 701.055(4), requires residential building permit applicants
who are not registered with the Construction Contractors Board to sign the
following statement before the building permit can be issued. Licensed Architect
and Engineer applicants, exempt from registration under ORS 701.010(7), need
not submit this statement. This statement will be filed with the permit.
Fill in the applicable blanks, and initial box 1 and either box 2A or 28:
1 I own, reside in, or will reside in the completed structure.
2. A. l-l My general contractor is
Contractor registration number
I will instruct my general contractor that all subcontractors who work on
the structure must be registered with the Construction Contractors Board.
OR
B I will be my own general contractor.
lf I hire subcontractors. I will hire onlv subcontractors reoistered with the
Construction Contractors Board. lf I chanoe my mind and -do hire a qeneral
contractor. lwill contract with a contrattor-who is reoistered wlth the
Constructibn Contractors Board and I will immediately-notify the office
issuing this building permit of the name of the contractor.
I hereby certify that the above information is correct and that I have read and understand
the lnformation Notice to Property Owners about Construction Responsibilities on the
reverse side of this form.
)- t,1-%
Pe Date
CONSTRUCTION CONTRACTORS BOARD
02MJ 10t24l89
WHITE COPY TO ISSUING AGENCY PERMIT FILE
PINK COPY TO APPLICANT
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SPR
-iFIELO
DEVELOPMENT SERYICES
PUBL'C WORXS
M ETRA POL'TAN WAST EWATER M ANAG EM EN T
January 16, 1991
Ms. Joanne Merritt
695 North 32nd StreetSpringfield, Oregon 97478
Dear Ms. Merritt:
cc:
th
225 FIFTH STREE]
SPR/NGF/ELD, OR 97477
,5Ag726 3,53 1
Your request for an extension of your permit to construct a fence at695 North 32nd Street, springfierd, 0regon has been revieved andapproved.
The extension may onry be granted one time and virr expire 1g0 daysfrom the date of the granting of this extension (.luly i6, 1991).
If Ioy have any questions, or if r may be of any assistance, pleasefeel free to phone me.at 726-3790.
Sinceqely,
Lisa Hopper
Building Technician
Dave Puent, Building 0fficial
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