HomeMy WebLinkAboutPermit Fence 1997-06-10SPEIt\lGFIELE,
FBNCE PBRHIT APPLICATION
CITT OF SPRINGFIBLD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, 0regon 97477
0ffice:
INSPECTION LINE:
726-3759
726-3769
Job Location:tL
Assessors Map $t / A OA 3 >, ?g Tax Lot f,: ]C Oc)
0vnerr 5
Address:
Ci ty:
Value of Fence 2 {06 ,
State: Q r
Fence Permit is $5.00
Zir: ??/7Y
(o- /o -7 7
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Con t rac tor/Ins taller :
Address:t \.a Phone #:
City:State: O c Zipz 7P
Constructlon Contractors Registration *. Z{ 7d 2 Expi res: :r^ ? v
Dy signing this permit/application, I agree to call for an inspectlon once myfence ltas been constructed (726-3769). I also stated that all informatlon onthis application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
ure Da te
FOR OFFICE USE
Date of AppI ication:
Recei p t lt
Total Amount CoIlect
JOB *:
Issued By ,fl- tTta a /c:
Checked for Delinqueneies:
6z)
Checked for Historical Statusr ]___
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