HomeMy WebLinkAboutPermit Fence 1990-9-24
-~
.
.
SPRINQFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELO
BUILOING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: IL,?'y
o I ~ Wlfj-( ~ 8J-
l7o~U'-lJ
V; ^'[j ,
Addres s: 12b4 () I :1 VV1 P 1& ~
City: SpnY'\,5 A ,.,ld State: (\~
Tax Lot #: (~~~
Assessors Map #:
....-.-::-\ -
Owner: '- I VVl
Phone #: "fei! 7~U(g
Zip: Q7'-/77
Value of Fence:f//r:17O.r-:V
Fence Permit is $5.00
Contractor II ns ta 11 er: C~f hv")
"(ilG{ f1 Y\.J.1
Address: L-/ "' '? l ~..Q..J 't-Y'vI<--
"'-
City: f-'.iJrf ),,0 _
- U. -
Construction Contractors
r:=..f> AI1 C'. e-
Phone #: In Y q ~X
~ .
State: 072- Zip: 971./ n'/
Registration #: fa/)()2.J Expires:C;..g q;
I
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.
/t,,~/-1 /7
"Signature -
/7
/
a./U,~
7-;;Jt-(- pG
Uate
, FOR OFF ICE USE
.
q - 2-LJ 1f7J
Job #: (lid! 77
Date of Application:
Receipt #: fK3G./7
Issued By:/'O A/\N~Q
Total Amount Collected: ~.LJV~
Checked for Delinquencies: ~
Checked for Historical Status: ~