HomeMy WebLinkAboutPermit Fence 1994-04-28225 North Fifth StreetSpringfield, 0regon 91477
FBNCB PBRHTT APPLTCATION
CITY OF SPRTNGFTELD
BUILDTNG SAFETY DTVTSTON
SP'rINGFIELO
0fflce:
INSPECTION LINE:
726-3759
726-3769
"CITY
Job Location:
Assessors Mrp #,@-=*>a//>
0wner:
Address:
Ci ty:State:
Construction Contractors Registration #:
Tax Lot {t:./a4
Phone +: Zt1€-/>a
zi oz 4-rf,>7
zip:
lres:
*
Value of Fence, ,// *e Fence permit is 95.00
Con trac tor/Ins talIer:
Address:Phone #:
Ci ty:State:
By signing this permit/app1
fence has been constructed
ication, I agree to cal1 for an ins(726-3769), I also stated that a1I
pection once my
information onthis application/permit is correct and that I vas provided vith the SpringfieldDeopment code requiremen ts for fence standards.
Signa ture 1-23-7/
Da te
FOR OFFICE USE
Date of Application:JOB *:a{z
Receipt tt /Z=32 Issued By:
TotaI Amount Collected:
Clrecked for Delinquenei e.s :
F
Checked f or Ili s tori ea I S ta tns :
e /