HomeMy WebLinkAboutPermit Fence 1992-03-18CITY OF SPP"VGFIELD, OREGO'V
225 North Fifth Street
Springfield, Oregon 97477
PENCE PBRUIT APPLICATION
CITY OP SPRINGFIELD
BUII,DING SAT'IITY DIVISIOI{
SPF!NGFIELD
0ffi ce :
INSPECTION LINE:
726-3759
726-37 69
Job Location: /// I t 44/1
Assessors Map lt:' otl' c{')Tax Lot *:2-* )->
ovner , 1Q, ffc/C H.n + E;* s. frerc.-
Arldre-ss : /// / S. 4*+ t^
CFara.oP.
* 4oo, oo Fence Permit is $5.00
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Phone f: 7+l-O5?L-
Zip:q? 47tC{ trr.$acioo(reldrT
Value of Fence:
Con t rac t or / Ins taI ler :
Address: Sar,a__Phone S:
Ci ty:State:Zipz
Construction Contractors Registration fi: Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (7?-6-?769). I also stated that al} information on
this application/permit is correct and that I vas provided with the Springfield
Devel-opment c.ode req'.iirernents f ir f rnce sten.larCs.
?-tE-*2*
S gnature Date
FOR OFFICE UST]
Date of Application: 3'Z "l , Ot|-JOB *:
Receipt #lAut Issued By:-S,s , o,,--I-T---I---
Total Amount Collected:
Checkecl for Delinquenci esz t'Checked for His torical Sta tu.s:
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