HomeMy WebLinkAboutPermit Fence 1990-06-08SPRINGFIELE,
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FENCE PERMiT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth StreetSpringfieid, Oregon 97 477
Off i ce:
iNSPECTION LINE:
726-3759
7 26-37 69
Job Location:
Assessors Map #:
Owner:
S zr%-
).-Tax Lot #
Address , /, 3,b Phone //
City:State:
value of Fence, (oc)
Contractor/I ns tal I er :
Address:
City: State:
Construction Contractors Registration #:
gna ure
FOR OFFICE USE
Date of Appf ication:
Zi p:?ry79
Fence Permit is $5.00
Phone #
L1 p:
Ex p'ires:
By sign'ing this permit/appiigq!i?l:^l agree_to call rql an inspect.ion once myfence has been constructeb 026-3769). "l itio itut. that all information onth'is application/permit js iorrect anO that I wis provided with the SpringfieldDevelopment code requ'irements for fence standaiJs.
c
a e
D Job #
Receipt #:Issued By:
Total Amount Collected:
Checked for Del inquencies:
o
Checked for Histor.ical Status, /