HomeMy WebLinkAboutPermit Fence 1996-06-18FENCE PBRHIT APPLICATION
CITY OF SPRINGFIELD
BUIIJING SAFETY DIVISION
S['fIINGFIELO
Office:
INSPECTION LINE:
726-37s9
726-3769
Job Locarion: ZVZ S HZna Slret
Assessors Map *:\l - <rz- 32-33- 02160 Tax Lot #: 02IO6>
0vner:
Ad<lress , ZZZ S. lZhJ Stre,et Phone {f : 5tt \- lq t- I6bt
Ci ty:s State, O F-zip: qlq?8
Value of Fence:$ tsoo Fence Permit is $5.00
Contractor/Installer: 6tUne-I-S
Address:Phone fi:
Ci ty:State:Zipz
Constructlon Contractors Registration *: Expires:
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Slgn5tur-e o Date
FOR OFFICE USE
Date of Application: 6fZ%
Recei p t 11 22oa /
TotaI Amottnt CoIlected, 5*
JoB fiz ?6a*<
Issued By:
Checlted f or Delinquene'ies:
225 North Fifth Street
Springfield, 0regon 97477
Dy signing this permit/application, I agrce to caII for an inspection once my
fence has been constructed (726-3769). I also stated that aII informatlon on
this application/permit is correct and that I vas provided vith the Springfield
Development code requirements for fence standards.
Juon - 1.8, tqqa
Checked for Ilistorieal Stattts: