HomeMy WebLinkAboutPermit Fence 1994-04-18FENCE PERUIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
SPRIl{GFIELD
0ffice:
INSPECTION LINE:
225 North fifth Street
Springfield, Oregon 97477
726-3759
726-37 69
OFEGO'UCITY OF
Job Location: ?/? //' 37d'
Assessors Map #: /2-az-z/-rl4/ f ax Lot #: e,/8
Ovner:
Address , ?/e /U 7qA "
Phone #: 7e6 -atre'
state t o(E,roru zipz 47//37
Fence Permit is $5.00
Cityz$o2tp,, f t El/---t-----r---
Value of Fence l/33.P
Contrac tor/Ins tal1er :alU
Address:o 76 Phone +, ?/L-f31/
Ci ty:State 2 QPe qo p zip : q1y??
Construction Contractors Registration #:?tt ae lres:
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I vas provided with the Springfield
Development code requirements for fenee standards.
gnature Date
Date of Application:
Receipt + /27=f
Total Amotrnt Collected: {e
JOB *:
Issued By:
Checked for Delinqueneies:Checked for Historical. Status:
t I
FOR OFFICE USE