HomeMy WebLinkAboutPermit Fence 1993-10-08225 North Fifth Street
Springfield, Oregon 97477
FENCE PERHIT APPTICATION
CITY OF SPRINGFIETD
BUILDING SAFETY DIVISION
SP,:lINGFIELD
0ffice:
INSPECTION LINE:
726-3759
726-3769
OBEGO'UC'TY OF
Job Location::'/A S //. / ?.t4. s*.t
Assessors Map *:
Ovner t /4.+.
1 3?a
l-/."''"t *.*-
Tax Lot *: D o jlq
Address, -?'/25 .d7/. /?,4 ,f Phone *:
city: &.^* J;rr/State, A^o zip:q7/7/
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Value of Fence: 25,, '/Fence Permit is $5.00
Con t rac tor/Ins taller :O,b
Address, Po 6*2€ 34 Phone *:vyq- gszl
Cityz Sa-r.^.,/--k-/S tate:zip: ?7V77, r - r-T--
Construction Contractors Registration *:f// (-("Exp ires: \r-- qq
By signing this permit/appJ.ication, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
/" l3 1o,:
S gnature Date
FOR OFFICE USE
Date of Application:II OLT Qs
Receipt */ D Sstl
{
JOB +
Issued By:
Total Amount Collected: '
Checked for Delinquencies:-/ Checked for Historical Status , --------------=-----------=--