HomeMy WebLinkAboutPermit Fence 1994-07-22CITY OF OREGO'V
225 North Fifth StreetSpringfield, Oregon 97477
FENCE PBRHIT APPLTCATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRINGFIELO
726-37s9
726-3769
Job Location:
L*b
Z4o SfAl
Assessors Map #t
Owner:
q 4 Tax Lot tt:0?zo o
Address:
Ci ty:
o ,l/,Z3 s-n -/o /o
zip:7 2422
Phone *:
State 2 2<
y'_,
aValue of Fence:ZD Fence Permit is 95.00
Con t rac tor/Ins taIIer :)t ),4
Address:Phone *:
Ci ty:S tate :Zipz
Construction Contractors Registration #: Expires:
gning this permit/application , I agree to call for an ins pection once myhas been constructed (726-3769). I also stated that a1l information onappt i onlpermi is correct and that I vas provided vith the Springfieldcoderequements for fence standards.
e Date
FOR OFFICE USE
By si
fence
thi s
Deve1,
Date of Application:
Receipt #
Total Amount CoIlected:
JOB *:
Issued By:
Checked f or Delinquene i e.s:
@
Checked for HistoricaL Starus:
0ffice:
INSPECTION LINE:
I