HomeMy WebLinkAboutPermit Fence 1993-03-03SPBIII.GFIELD
-CITY OF OREGO'V
FENCE PERUIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
0ffice:
INSPECTION LINE:
7 26-37 59
726-37 69
Job Location:)4E S, Z-lt't'^
Assessors Map #:L3t Tax Lot *:11oo
Ovner:
Address:S,Phone #:,3&u
Ci ty:State:Zip:r
Fence Permj t is $5.00
Cont ractor/Ins taIler :
Address:Phone *:
Ci ty:State:Zipz
Construction Contractors Registration #: Expires:
By signing this permit/application, I agree to call for an inspection once my
fenee has been constructed (726-3769), I also stated that aII information onthis application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
-3^
il
)L$ttt) -
s gna ur Date
FOR OFFICE USE
Date of Application:3'3 1s
Receipt #
-lt 10
Total Amount Collected:
JOB *:
Issued By:
Q Z o)(rr)-
Checked f or Delinquenc'i es :
S
Checked for Historical Status:
varue of Fence , 96 rl trOOf,