HomeMy WebLinkAboutPermit Fence 1996-7-17 (2)
'".
.~..
SPRINCFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location:
)ll<r6 otJ~L Or
i/ -
Assessors Map #: ---1$-.t?~ -Pb ./'2
Owner: .66& "AND F,A-ll"I-\ FaRSI Ie:::;
Address: 34~ 0 Do LA u- L}<.S DR. \ II~
City: ePRIN(,...F'( ~ State: (0 R...
Tax Lot #: P::?~C>
Phone #: <;;41- ,-14-~1'l1'
Zip: q,4--r~
Value of. Fence: $ \ ZO::>. Qj
Fence Permit is $5.00
Contrac tor/Ins taller: \ ~ S, f'n...-Lli-D B Ll 'S. E..-Lp
Address: A-e.oVe:.. Phone #:
City:
State:
Zip:
Construction Contractors Registration 1I:
Expires:
By signing this permit/application, I agree to call for an inspection once my
fence has been const~ucted (726-3769). I also stated that all information on
this application/permit is correct and that I was provided with the Springfield
Development code requirements for fence standards.
f!J; ~i
Sig,fature
,JI7Ht
Date
FOR OFFICE USE
Date of Application: ?, / 7,~
Total Amount Collected:
.,.~
Jon 1I: 9oe:>?7 '?
Issued By: ft-v.?-
/~C/ .
Receipt # ~ 257":2
Checlted [or Delinqupnr.ies:
,---.
Checked for Uistorical Status: