HomeMy WebLinkAboutPermit Fence 1993-06-24SPRIilGFIELE,
C'TY OF OREGO'U
PENCE PERHIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97417
0ffice:
INSPECTION LINE:
726-3759
726-37 69
Job Location:Q
Assessors Map *:Tax Lot *:
Ovner:
Phone +z 6#-eA /
State:,DZ,Zip:
Value of Fence z ZZ23 e Fence Permit is $5.00
Con t rac t orlIns taIIer :
Address:Phone *:
Ci ty: State:Zipz
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 on
this applieation/permit is correct and that I vas provided with the Springfield
Development code requirements for fence standards.
Address:
Ci ty:
{-Jr* ?z
S gnature Date
FOR OFFICE USE
Date of Application:6-z12
Receipt ll
Total Amount Collected , 5, a e
JOB *:
Issued By:
Checked for Delinqueneies:Checked for Historical Stattts:
/
-
qOZ
t4nr n -'
(/