HomeMy WebLinkAboutPermit Fence 1996-8-1 (2)
, \
\-
.1
\ '
FENCE PERMIT APPLICATION'
CITY OF SPRINGFIELD
BUILDING SAFETY,DIVISION
, 225 North Fifth S~reet
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
,Job Location: .tj9& ( /tJ.e..><rm/A
Assessors Map #: l %' b;(O Lj 2. ::< 0 3;) ni ')
Owner: ~/(/t.ef1RM,() ~5
Address: & >0 ~/#'f/~ c/
Tax Lot #: ____
Phone #:
?tf L/ -J L& "l
Zip: '9' >'72.&
City:
De4-..5w~c
State: (Y;(2.
Value of Fence: /.5()9.cXJ
Fence Permit is $5,00
Contractor/Installer:
.6vr.e-~ IJ,.~ <.
- -
,
'.
City: /,,F?~</A/t:U State:
cP.1t2
Phone #: ?o/tf -.1'26 )
zip; 9)~'L0
Address: 10 '/0 PI",,. e-r
Construction Contractors Registration #:
Expires:
By signing this permit/applicition, I agree to c~ll 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
Signature
? It /f'f.7
-,
Date
FOR OFFICE USE
Date of Application: X- ...-1 ~ '9 /'~
Receipt U 227( tt
Issued By:
Jon ll: q (0 Ofo&2 C..
~
.}
.,,-
Total Amount Collected: C:;, VU
C!lecked for Delinquencies: 't~hecked for Historical Status: ~