HomeMy WebLinkAboutPermit Fence 1991-08-29?25 tifth Street
Springfie'ld, 0regon 97 477
FENC E PERMIT APPLICATION
CIIY OF SPRINGFIELD
BUILDiNG SAFETY DIVISiON
SPflT,YGFIELED
0ffi ce :
INSPECTION LINE:
7 26-37 59
726-3769
CITY OF OREGON
Job Location: l*Oq N4E
Assessors Map #:
Owner:
0 3,f c.43 Tax Lot #:o8?o /
$pv* h /i,rraj" ffu2{tv*'"--
Addres s :S&^r,/U-Phone #: n'ohe-
City:
Value of Fence, 3OO €.
Fence Permit is $5.00
Contractor/I nstal I er :
Address:
gtJc\^\taa
Phone #:
C'ity : State:Zi p:
Construction Contractors Registrat'ion #: Ex pires:
State: OYe Zl p : qq414
By sign'ing th'is permit/app'licat'ion, I agree_to call tqf an inspec-tion.once my
f-ence-has-been cbnstruct'ed (726-3769). - I also state that all information on
this appfication/permit is correct and that I was provided with the Springfie'ld
Development Code requirements for fence standards.
g-2-q-ql
gna e Uate
FOR OFFICE USE
Date of Appf ication:&-24- ql Job#, 4t tOlrl
Rece'ipt #:2t\ 5q Issued By:
:-&3
5o[o..-'
Total Amount Collected:
Checked for Del inquenci es: 'L.z Checked for Historical Status: l-/