HomeMy WebLinkAboutPermit Fence 1990-1-23
..
SPRI_:L~
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: I?);z.,( Oh~ I
Assessors Map #: 11---D~---g~ ---)--;2..
ft1A"'~~ ' (evl'-"P~
~wner: "M;z-., F__<_W"'''o( ~-r-~
('"f2/P - q4lPo~
Address: '7c?'? ( M~C:<....ll.6
City:
61~
State:
"'50 i=" F> I rvc;, F ) e<.(D
Tax Lot #: 6 11 00
( v= ~ '\
P'V~ .- 1-',-,,;= I
./
Phone #: '~ b<:::. -,?J7(p
Of?-, Zip: Q74&'/
Value of Fence:
600
Fence Permit is $5.00
Contractor/Installer: .E::."\fJefZ-""f'-~iJ ~
Address: "::2::>f""? s-:-
w' (\ -t'!( A..---e
City:
p.\./LA~
State: f3?PS.
Registration #:___~~
,=-.Ll ~-o a....., c--
Phone #: ~ -'7 '"" ='-./~
Zip: IJ7<<-joZ-
Expires: 7--;;g---q()
Construction Contractors
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also state that all information on
this application/permit is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
~ /~~~
Signature ~
/ / :;<b( PjD
ualie '
, FOR OFF ICE USE
Receipt #:
J~ .)1 p J1j)
/c:fs81
,
Issued By:
~---
,/
Job #: OJ () 0 / ~ ;;)
.~
/JJ1j)~
Date of Application:
Total Amount Collected:
Checked for Delinquencies:
Checked for Historical Status: I~