HomeMy WebLinkAboutPermit Fence 1991-09-05CITY OF SPFINGFIELD,OREGO'U
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SP=RTNGFIELD
0ffi ce:
INSPECTION LINE:
225 Fitth Street
Springfield, Oregon 97 477
7 ?6-37 59
7 26-37 69
Job Locati on :It55 t{ lb'{
Assessors Map #, l1O3 ?S? Y rax Lot #:o t900
Owner:RoGu.rt Art,r,h"1,1"4a
Address:-Sd,11r\e-Phone #: 'lq1- l413
City:State:Ar?-Li p : 1'7 4'7'7
Value of Fence: 250
6O
Fence Permit is $5.00
Contractor/ I ns tal I er :
Address:Phone #:
C'ity : State:Zi p:
Construction Contractors Registrat'ion #: Ex pires:
By signing.this permit/appficatig!, I agree to call for an inspection once myfence has been constructed (7?6'3769). I also state that all'information on-
this_appf ication/perm'it is correct and that I was provided w'ith the Springfield
Development Code requirements for fence standards.
q_5-qt
gn ure Date
OFFICE USE
Cu3 ht4a
Date of App'lication, 4- 5 - q I Job#: ffi qllo44
Receipt #:2-1704 Issued By:]bo (or,'r--
Total Amount Collectedt 5 /9
checked for Del inquenci es t/ checked for Historical status V