HomeMy WebLinkAboutPermit Fence 1992-07-17PENCE PERMIT APPLICATION
CITY OF SPRINGFIBLD
BUILDING SAFETY DIVISTON
SPRTNGFIELD
0f f ice:
INSPECTION LINE:
726-3759
7 26-37 69
225 North Fifth Street
Springfield, 0regon 91417
Job Location:
Assessors Map *:Tax Lot #: fuO
OREGONCITY OF
Ovner:
Address:Phone #:
city: -<b ' '"' E -k S ta te:zipl.-v-7
Va1ue of Fence:Fence Permit is $5.00
Con t rac tor/Ins taIler :
Address:Phone *:-a
Ci ty State:D/earr) ,r*Q 7/s's-
Construction Contractors Registration #, CCR 7b' 4 SExpires r,/l -/ 6 * 7z-
By signing this permit/application, I agree to call for an inspection once my
fence has been constrlrcte<l (726-3i69). I also stated that all information on
this application/permit is correct arrd that I vras provided vith the Springfield
Development code requirernents for fence standards.
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FOR OFT'ICE USE
e
Date of Application:
Receipt ll <fBA _
Total Amount Collected , 5 4-
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')t-JOB *
Issued By:
Clrecked for Delinquennies: t/ Checked for Historical Status:
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