HomeMy WebLinkAboutPermit Fence 1995-05-17225 North Fifth Street
Springfield, 0regon 97477
FENCB PBRI{IT APPLICATION
CITY OP SPRINGPIELD
BTIIIDING SAFETI DIVISION
SPFIf,GFTELE,
0ffice:
INSPECTION LINE:
726-3759
726-3769
CITY OF OREGON
Assessors Map *, I-JOL ZU 3l
0vner:
Address:
Ci ty:State:
Tax Lot *: C7 I N
Phone *:*'<q_z-s1sV
Zipz ?zqa/
Value of Fence:lsoo 'D
Con t rac tor/Ins talLer :5-€-
€zd ,4sco*f- Dn,phone #: 3tlS-S-Y .3 v
Zip:?z <// 7
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Fence Permit is $5.00
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Address:
Ci ty:State:
UConstruction 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 on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
0,4
gnatur Date
FOR OFFICE USE
Date of Application' - l)-qi
Receipt #
Total Amount Co}lected:
JoB *: g =o Gsl
-Yno rL"*L*-Issued
Checked for Delinqueneies:
:; 60
Checked for Historical Status:
JobLocation: /U4 So /74 ,?
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