HomeMy WebLinkAboutPermit Fence 1992-04-24aC,ITY OF SPFING AREGON
225 North Fifth Street
Springfield, Oregon 97477
FENCE PBRUIT APPLICATION
CITY OF SPRTNGFIELD
BUILDING SAFETY DIVISION
SPFII\IGFIELD
0ffice:
INSPECTION LINE:
726-3759
7 26-37 69
Job Location:
Assessors Map #:-4'
Ovner:
?2/4
Tax Lot *: //.tQ>
Phone *, ?//>-/V 7F
zip:
Address:
Ci ty:
7
€PFrz>State:T
Value of Fence {22, *Fence Permit is $5.00
Contrac torlIns talIer :
Address:Phone *:
Ci ty t _S tate :zip:
Construction Contractors Registration #:Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that aII information onthis application/permit is correct and that I vas provided r,ri th the Springf ield
Developmen cod qui reme s for fence standards.
-
(
S gnature Date
FOR OFEICE USE
Date of Application:/-z rz-z1'>
Receipt #
JOB *:
Issued By:
Total Amount Collected:c,>€2 ''// - '
Clrecked for Delinqueneies: L/" Checked for Historical Status I Lz'