HomeMy WebLinkAboutPermit Fence 1995-10-135r|'IINGFIELO
T'IINCU PIIITHIT AI'I'LICNTION
CITY 0ll sl'ltINcl,IIlLD
I}UILDING ShI'U'TY DIVISION
225 North Fifth Street
Sprlngfleld, 0regon 97477
0ffice:
INSPIiCTION LINB:
726-3759
726-3769
Job Locatlon: A55 /U,,3,<fr a{,,
Asscssors tlap llr /7a \/ 3/Tax Lot ll:fr, ?D?
Adclrcss r PO AA-r/ e4
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Valuc of Fence r ,/ 5@ Fcnce Permit is $5.00
Contractor/Installcr, il*rli Alr/J 07)Dtk
Addrcss:Phone ll:
Ci ty:Statc:zl p:
Constructlon Contractors Reglstratton ll :-Explres 3-
By slgnlng this permlt/app}lcatlon, I agrcc to caII for an inspcctlon once my
fcnce has bccn constructcd (726-3769). I also stated that aII lnformatlon on
tlris applicatlon/pcrrnt t 1s corrcct and that I vas provlded vi th tltc Sprlngf lcld
Dcvcloptrrcn t codc rcqul rcmcn ts f or f cncc s tandards
/0-/3 -?€
turo Date
IIOR OTIFICE USI
Datc of Appllcatton:J0ri tt:
il
Rccclpt ll Issued By:
TotaI /rrnount CoIIcctcd:Ar"
Checkcd for Dclinquenclu.rr_ Check.cd for llistorical Stattts:
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