Loading...
HomeMy WebLinkAboutPermit Fence 1991-7-9 (2) , e S'PR!-FIELD FENCE PERMIT APPLICATION CITY OF SPRINGFIELD BUILDING SAFETY DIVISION 225 Fifth Skeet Springfield, Oregon 97477 Office: 726-3759 INSPECTION LINE: 726-3769 Job Location:. C)~~CC0 \:X\i~\ ~( 11 f\\ 0 Assessors Map #: \ 7 O!1 g ~ oD lJ Tax Lot #: ) ~ on , . 'tI//} / / Jl / ~ Ii. {) T-- & e;..J 11 (c2 Owner: Ed,A1_A/'.d .f...!.../ f):'f4-~r I 7//4./11" r . _ e~M.I ~ l:<,,/.) "t-,d?7> ~?~"'t!'"r Address:~~3~Li) J)~>~.V ~/ - .~.o. #7.L: Phone #: '/t./ 1- 5'96 <7 City: ..<0 Pd. State: f)J? Zip: 9?Cf?? / Value of Fence: ~SDO..Q Fence Permit is $5.00 Contractor II ns ta 11 er: OI,L: (' ...--5 e ( ('J e < Address: Phone #: City: State: Zip: . Construction Contractors Registration #: Expires: 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 ~his application/permit is correct and that I was provided with the Springfield Development Code requirements for fence standards. i~iit:~ (J ~(v' Y /r;9j Uate I , FOR OFFICE USE Date of App'i'ication: 'I. /() .ql , j"iJob D: C\ \()~ ~ Receipt #:.-Bn(03~ Issued BY:(/)tfX) ')" - ,- .~~ . LX::) Total Amount Collected: Checked for Delinquencies: 'Chevked for Historical Status: yO (, , I