HomeMy WebLinkAboutPermit Fence 1991-04-22225 Fifth Street
Springfield, 0regon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPIlINGFIELO
Offi ce:
INSPECTION LINE:
7?6-3759
726-3769
CITY OF SPR TVGFIELD OREGO'U
Job Location: 120 A( 23r d .S-
Assessors Map #:l ob3b t Tax Lot #:O bZDD
ownen P;A n n't e..--)',nn
Address:
C'ity:
Varue of Fence: flfrDD DD
Contractor/ I nstal I er :
Address:Ll ,r4
City:T:
Construction Contractors Reg
g a ure
JY Phone #: 74b '1514-
state , D F-Zi p:
Fence Permit is $5.00
{.CL
Phone #:
State, [, lL Z1 p:4i_48
istration #: ',,, 0OZLL Expires:I v3L
By sign'ing this perm'it/applicat'ion, I agree to call fo1 an inspec-tion.once my
flnce-has-been cbnstructed (726-3769). I also state that all information on
this appf ication/permit is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
1/22-?/
E',te
FOR OFFICE USE
Job #:q lDzs z_Date of Application:
Receipt #:
Total Amount Col'lected [)
Issued By:
Cf.)
U
Checked for Delinquencies:Checked for Historical Status