HomeMy WebLinkAboutPermit Fence 1996-07-01225 North Fifth Street
Springfield, Oregon 97477
FENCE PBRHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPrlINGF!ELO
0ffice:
INSPECTION LINE:
726-3759
726-3769
OFEGO'VC'TY OF
Job Location:q o TI
Assessors Map *:Tax Lot fi:
ovnen A wstt 'x)tM e Cr+((
Address: I \(?6 -) rq 5>.Phone *: 7 \7 - A-roq
Ci ty:State: Dflo Zip:
Value of Fence:
, a -
-
b? U,Fence Permit is $5.00
Con t rac tor/ Ins taIIer :o
/id<lress, Q66 clfrK Phone *t-
Cl ty:State | 6 PQ.zi p:91q ol
Constructlon Contractors Reglstration #, 6Q4O b5 Expi res :
lly signing this pernrit/application, I agree to caII for an inspectlon once my
fence lras been constructed (726-3769). I also stated that all informatlon on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
(
(_
7
(
S P,ture
Date of Application:
Receipt lt
Total Amount CoIIected:
FOR OFFICB USE
Date
U
*:
Issued By:
Clrcclted f or Del inqttenc i es :Checked for Ilistor:ica1 Status: