HomeMy WebLinkAboutPermit Fence 1995-09-08r/
225 North Ftfth Street
Springfield, 0regon 97477
PENCB PERHIT APPLICATION
CITY OP SPRINGFIEU)
BUILDING SAFBTY DIVISION
SP'II'YGFIELc,
0ffice:
INSPECTION LINE:
726-3759
726-3769
CITY OF SPR"UGFIELD, OREGO'V
Job Location:2b.5/ N s/ sT-
Assessors Hap *t11 O> I,q ?r Tax Lot *, d)
ovner: 7,+f Lo" I t S EN /Jrrnir
Addressz 2G5/ N" 3/ 3T Phone *:7 4b- 63 26
Ci ty:SPR1rrttzFtElD,Stater DR zip:?2q77
Value of Fence:Fence Permit is $5.00
Con trac tor/Ins
Address , 3{'/
tallen P,te) f i. Y4/l E Cort6/puc l, o^
Lr:eDi) t.q l'Ja DQ "Phone #: 7'/'/-828'7
Ci ty:5?Rr i o rietO State:ce zi p:I 7{zz
Construction Contractors Registratlon *:/ cL- 87 3 Expires:L.- 76
By slgning this permit/application, I agree to caII for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit ls correct and that I vas provided vith the Springfield
Development code uirements for fence standards.
L 7- a-?{
S gnature Date
FOR OFFICE USE
Date of Appllcation:q t>-qa JOB *: QOt q78
Receiptl-O OC?L
Total Amount ."rr"",*$? ' ?
Issued By:
,/
Checked for Delinqueneiesz t/Checked for Historical Status: