HomeMy WebLinkAboutPermit Fence 1993-09-27225 North fitth Street
Springfield, Oregon 97477
FENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRING. .€LD
0ffiee:
INSPECTION LINE:
726-3759
726-3769
CITY OF OREGO'U
Job Location: /Y7f /tr2 <Z
Assessors Map *t /2A7^2€- /? Tax Lot #:o/<-,/
Owner:J47vr* 7r<z> ,9.qa Ds-p-.
Address:
Ci ty:
Value of Fence:Q4"
Con trac tor/Ins taller :
Addresst *??> B
State:"71
Fence Permit is $5.00
Phone #: n€-7??>
Zipz n77>)
Phone +z 7.% *4/?,/
Statet a=/7- zip:224f
Date
FOR OFFICE USE
Construction Contractors Registration # | €2O2:;ires: /aZZg^2->
By signing this permit/application, I agree to caII for an inspection once my
fence has been constructed (726-3769), I also stated that all information on
this application/permit is correct and that I was provided r^rith the Springfield
Development code requirements for fence standards.
?-2 z- 73
S ture
Date of Applicati on: ?< 7^ 9?
Receipt + /a lb1
JOB *: tr422
Issued By:
Total Amount Collected:
Checked f or Delinquene'ies: Check.ed f or Histor:ical, Statns:
city: €Zd€B