HomeMy WebLinkAboutPermit Fence 1997-05-02FENCE PBRHIT APPLICATION
CITY OT SPRINGTIBLD
BUIU)ING SAFETI DIVISION
SPllINGFIELD
INSPECTION
0ffice225 North Fifrh Street
Springfield, Oregon 97477
Job Location:t/<
Assessors Hap #:nc 7b3'
Ovner:
Address:
Ci ty:State:
Value of Fence:
Phone *, '74/ "O Z T4
A,.D21 Zip:?7/ z:
Tax Lot #:
77
77
Ll
-/
Fence Permit is $5.00
Con t rac tor/Ins taIIer :
Address:Phone *:
Cl ty:St te:Zipt 7
Constructi t rac tor stration +:Expires:
lly
fe
th
signing this permit/application, I agree to caII for an inspectlon once my
nce lras been constructed (726-3769). I also stated that aII information onis application/permit is correct and that I vas provided vith the Springfield
velopment code requirements for fence standards.
ture
FOR OFFICE USE
7)
e
: 726-3769
Date of Application:€2 -7 JOB *:q1 )bK)
Issued By:Receipt #
TotaI Amount Collected:
Checked for Delinqueneie.s:Checked for Historical Status: