HomeMy WebLinkAboutPermit Fence 1993-9-22
.
()
,;,<S~';,~,
""'fL..~ tD!... r~J ,'"'
~~IV~
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
"'~37*
Job Location:
/972 //77 LMy<~h' Cjr- ^
#: F}-o'3-2 .>~/-:;>
:1"~,Et:.?-/E ~?'''Y?'~~
4"r-;',-';/C Phone #:
Tax Lot #: 6::?<:::::>c::::>
Assessors Map
Ovner:
City:
_~rc-;0
, State:
~/??
77'6 - fig.<
cf7f/".> ':>
Address:
Zip:
Value of Fence: /'~~&?~~
Fence Permit is $5.00
Contractor/Installer:
~AVcA '
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permit/application, I agree to call for an
fence has been constructed (726-3769). I also stated that
this application/permit is correct and that I was provided
Development code requirements for fence standards.
A-tpZ~v~_
-" Signature U v
inspection once my
all information on
vith the Springfield
9 / >>-A?~
Date
FOR OFFICE USE
Receipt #
/0 3~~
Issued By:
JOB #: 9'"? /4/..5"".2..
/?'~.--.--
_......,?,?r ____
\~~
Date of Application: 9~-:Z :<-9'3'
"
Total Amount Collected:
~:.-=
Checked for Delinquf'nd f'S:
-----
Checked for Historical Status:
<-