HomeMy WebLinkAboutPermit Fence 1991-08-02SPFIi.GFIELD
CITY OF SPR OREGO'V
FENCE PERMIT APPLICATION
CiTY OF SPRiNGFIELD
BUILDING SAFETY DIVISION
225 Fifth St.reet
Springfie'ld, 0regon 97 477
Offi ce:
INSPECTION LINE:
7 26-37 59
7 26-37 69
Job Location: -t f5 lVanfT )g .gtr-"-Cf-
Assessors Map #:\-1 Da3 Tax Lot #:
0wner:a N
Address:5'Phone #:-H63>13
City:State:zl pz ?>y7?
LValue of Fence:
Contractor/Instal I er :
Address / "; ?
Fence Permit is $5.00
'7/.7.qfl *Phone #:
City:2r.({State:4zi pl4
Construction Contractors Reg'istration #:Ex pires:
By signing. th'is permit/appl igq!i9! r l agree- to cal I for an 'inspection once myfence has been constructed (726-3769). -l also state that all information on-
!hiq_appf icat'ion/permit 'is correct and that I was provided w'ith the Springfield
Development Code requirements for fence standards.
6:7.- L- ?/
q
a ure
Date of Ap
Receipt #:
pf icat'io n
FOR OFFICE USE
Date
Total Amount Collected:
Job #
Checked for Del'inquencies:
ssued
Checked for Historical Status: