HomeMy WebLinkAboutPermit Fence 1995-7-31 (2)
"...L
-.
.t
..
...4
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
kltC;ytt/A
Assessors Map II: /t:Z~:z.-t!:1~~
Owner: l2.l\J~/i2.... he.NJ I-bWl": c...
Address: f.o. Bo-,<:- 5"73
t/q66
Job Location:
Tax Lot II:
/!:7Z~t?
City:~fS-w~ {(
State: C1I<..
-r",(' ..
Phone II: ~_iS-~ Cl:'1S--'-f<j'l7
Zip: Q7'f2 ~
<kt
Value of Fence: I~~C)
Fence Permit is $5.00
Contractor/Installer:
,( lU <C ~ 1?:> '2. J() J,
H~M E S
~
~IU~'
Address:
Phone II:
City:
State:
Zip:
Expires: -S- u... ~ 1
71-
"
Construction Contractors Registration II: 17tJ Z. 1
By signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I was provided with the Springfield
Development code requirements. for fence standards.
/I/V-r;t~ (J. Ct74
Signature I j/
7/3'1/15--
Jii:e I
FOR OFFICE USE
Total Amount Collected:
~-
JOB I: ~..;--<? ~r.;::;>
Issued By: /?~
/F
Date of Application: ?~ ~/.-9 S"
Receipt II
/g$'~
Checked for Delinquencies:
Checked for Historical Status: