HomeMy WebLinkAboutPermit Fence 1990-07-25225 tifth Street
Springfield, Oregon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRINGFTELD
Offi ce:
INSPECTION LINE:
726-3759
726-3769
--!->/Job Locat'ion :
Assessors Map ll:n07 bz.l Tax Lot tt: D [9 61)
Owner:er
Address:Phone li:
C'ity :State, 0 {Z-Li q TLlo 3
Val ue of Fence 0
Contractor/Instal'l er :
Address:Phone /i:
City:State:zip:
a e
igna ure
FOR OFFiCE USE
Date of APP'l i cat i on :9 -2 4 Job ii:0 tb b8
Rece'iPt #:IB 7 Issued BY:
Total Amount Collected "dD
Construct'ion Contractors Registrat'ion #' Expires i
-
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By sign.ing this permit/appligqlion, I agree.to call for an inspection once my
fence has been cbnstruct'ed (126-\:i6,i..-.i-irio itate that all information on
th.is applicationiperm.it is correit-;i; that I *ui-prorided w'ith the Springfie'ld
o.r.ro.p[.ni-cooe lequiiements for fence standards'
-@ga -<Lla-Bz3D
I
Checked for Del inquenci es:/ Checked for H'istorical Sta lusz /
[o\.0,r* L t
Fence Permit is $5.00
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