HomeMy WebLinkAboutPermit Fence 1992-01-27CITY OF SPRINGFIELD, OREGO'V
225 Fifth Street
Springf ie1d, 0regon 97 477
FENCE PERMIT APPLICATI
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRIilcFIELD
0ffi ce:
INSPECTION LINE:
7 26-37 59
7 26-37 69
Job Locat'ion: /3 o5 4/.7d.
Assessors Map #:
0wner:
3 Tax Lot #:ESa t
Address: /3 nS vd,Phone #: ?/? -30
City:
4
Value of Fence:5u9
Contractor/I ns tal I er :
Address:
City:
a)
Fence Permit is $5.00
Phone #:
Date
Z1 p | 17/78
Zi p ,?
State:
State:
Construction Contractors Registration # :__fltLL Ex p'ires:\-.-- s z-
By sign'ing. this permit/applicatig!r^l agree_to call for an inspection once myfence has been constructed (726'3769). -I also state that all information on"this app'lication/permit is correct and that I was prov'ided w'ith the Springfield
Development Code requirements for fence standards.
,/- al - rA
1 a ure
FOR OFFICE USE
Date of Appl icat'ion:l-)1-q )-Job #:
Rece'ipt #:Issued By
Total Amount Collected:
Checked for Del'inquencies: //Checked for Historica] Status t-/