HomeMy WebLinkAboutPermit Fence 1992-02-19._-;.=?-
225 Fifth Street
Springfield, Oregon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRINGFIE-- -
0ffi ce:
INSPECTION LINE:
726-3759
726-3769
onEGorvC'TY OF SPF
Job Location: l2O.Z A/ lrtn 3f
Assessors Map #: tlo 7zb ed
0wner:
Tax Lot #:-Ao? 6l
C)vu"Jt ()tm=f--
Address:
City:State:
Val ue of Fence , 122 :'o '
Contractor/ I ns tal I er :
Address:
City:State:
Construction Contractors Registration #:
Phone #^'/1-
Zi p:f+ ^>
Fence Permit is $5.00
Phone #:
Zi p:
Ex pires:
By signing. this permit/app1i3!i9!r^l agree_to calJ for an inspection once myfence has been constructed (726-3769). -I a]so state that all information on"this_application/permit is correct and that I was provided with the SpringfieldDevelopment Code requirements for fence standards.
?'/77<
gna Date
FOR OFFICE USE
Date of Application:
Receipt #z ZZ€a Issued By:
Tota'l Amount Co'l'lected {-n
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J #z Z
CheckedforDel.inquencieS:-CheckedforHistoricalStatus: