HomeMy WebLinkAboutPermit Fence 1997-1-7
v
1."Il
.
e.
SPRINGFIELD
"
, ,
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
.,. I -
BUILD~NG SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: 9'0 95 J?1~ 51:"
Assessors Hap DI /7(J'd.. 31 '1/
Owner: /71//E'" 0,/ I'c. L.
Address: ,;l,/75 J.l-.r /0/
u
City: 1-ltJl<~I//i!.C
s'
Value of Fence: '/o:J..5. "y
Tax Lot D:
,
O'l50~
State:
Phon~' D:/-~o-t9'7- ~t/b9'
t:J/? Zip: ?7i/69
Fence Permit is $5.00
r
ContractorlInstaller: /"J/7&"60# r,"pt!.~ &:>
,
f JLlC .
AddL'ess: P. 0 /3.c;I 3c.
City: St>R.JA/{'J/d-l State: t:J1f
,Construction Contractors Registration D: /0 $9'7f
Phone D: ;,yc. ~,ff 2Y
Zip: 9'lV;'?
Expires:/2~ 7/~7
"
"
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 was provided with the Springfield
Developmcnt code requircments for fcnce standards.
If~~
Signa tUL'C
/ /7/'1'1
Dat~
, ,
FOR OFFICE USE
....11.
--
Date of Application: / - 7-97
Receipt D f\~ LJ:4 4-.2.,
Total Amou:t 'CO~l-ected:J! f), CD
Checked for Delinquencies: '~.
jOtift: <1& 0 (c). /
~
Issued By: I? /Y7 c\) (' Ii rVr/ r )
Checked for Uistorical StatllS: '-