HomeMy WebLinkAboutPermit Fence 1997-4-30
.
.'
SPRINGFIELD
"
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 No~th Fifth St~eet
Springfield, O~egon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: tj 9/ (j J ()~ ~ t')~
Assessors Map #: I--::U;;~l t,ll;)() 17rfU..7'iiQot #:~~O 0
Owner: /1/ tL) ~/Y1 me/ell-
,
Address: '-/9/ W. {)LYfrllJlC-
S.fJFD
I
~^"o.:::..
Value of Fence: /(LICJ
Phone #:
7~0, ~/9' 31
Zip: . 9V~~;7~
City:
State:
!)J2
Fence Pe~mit is $5.00
Cont~actor/Installe~:
~.
Add Loess:
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.
inspection once my
all information on
with the Springfield
11/~~~'
Signature
~"30 r)9?
Date
FOR OFFICE USE
,
Date of Application: L/ /.~() It:! r
Receipt # () 1 SSS 7- .
Total Amount-Collected: L~ 5.0 ()
Checked for Delinquenc.ies:-11-~ Checked for Historical Status:-IlfJh1 _
Issued By:
JOIl II: q 1 Oftfty~
-.j ( YrLU;,
'-