HomeMy WebLinkAboutPermit Fence 1995-3-29
I#p,
.
-\
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location::!fJ5'5"" /J/lkl'fJlA Z,A-t?
Assessors Map #: 11()~'!x?ty)n
Tax Lot #:
lqW
'f
Owner:
i,;:;f1V/~ f=llir/6flT .5o~tJl r.:
Address: .-z:e......e:;c- A1~A ~
Phone #:
Jl'}1/"l-#~~ "
City:
~,IR frJlJt:Ji::,tl
State:
()fl.
Zip:
'171{77
Value of Fence: 4J 1/ 2 ~O. 'It;
I
Fence Permit is $5.00
Address:
I~q
AI/),
/)P~JfJN f=',..,----rvc.F
11..
.:r;~- ~T
(U tll4A PAN \/
; J
Phone #:
7#d::.8..,"? 2./.1_
Contractor/Installer:
City:
c<;PRIMbCl~
State:
(')....
Zip: Q71/7'7
Construction Contractors Registration #:
Expires:
Sf'G(!'/f1t.. ('oNOlrl6Ns.' See BACI<SrDt=or APPLICATIoN
By signing this permit/application, I agree to call fo! 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 was provided with the Springfield
Development code requirements for fence standards.
~~~.L
,~L/
~h~ /95
DatI!
,
FOR OFFICE USE
Date of Application: 3' ,<~.qS-
Receipt # /67 g /
JOB II:
9~ Yc::!' /
Issued By:
/:/,.
'~&7
" -t
Total Amount Collected:
~__D
.
"
Checked for Delinquencies:
Checked for Historical Status: