HomeMy WebLinkAboutPermit Fence 1991-09-01CITY OF SPF"VGFIELD, OREGO'V
225 Fifth St,reet
Springf ie'ld, 0regon 97 477
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SiPFI]{GFIELO
Offi ce :
INSPECTION LINE:
726-3759
7 26-37 69
Job Locat'ion: ll3f € 45p'
Assessors Map #:_ J ?Ol O<rqA Tax Lot tz 2h0O
0wner:
Address:
City:
Value of Fence: (SCf).C
Contractor/ I ns ta I I er :
Phone #: na'n-q- Lte-* t-'-'
Z1 - Rk<[-Sf r)
P: 4it <r-\+
Fence Permit is $5.00
Phone #: .4k4.(€ tt
Zi p:a (
State: (\P
Address: 2 ,-:>r.\ Y_
ConstructionContractorsReg.istration#:Expires:-
By s'igning. this perm'it/appligq!i9!:^l agree_to call fqr an .inspect.ion once myfence has been constructed (726-3769). -I also state that ali-intormation on"this_application/permit is correct ano that I was provided with the SpringiieloDevelopment Code requirements for fence standards.
City:
9na ure
State:
FOR OFFICE USE
Date of Appl ication:- 3/H
I q t Job # , 4'l D4-l O
Issued U,
5CO
Receipt #:Al [er-1
Total Amount Collected:
Checked for Delinquencies:
+
)r Checked for Historical Status: Jr
\
Q .("G t
Date
.9