HomeMy WebLinkAboutPermit Fence 1995-7-31 (2)
.
.
SPRINGFIELD
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location: t:.-!970;:?;/?<;;t't4-
Assessors Map II: ---L1fjr-e:>,z -0 Y'-~
Tax Lo t II: t::!':2 -:A.--- ~
Owner: 2..1.'v~ B~J ~.:s ~ .
Address: (t/. O. 'iS~ "::::-'73 Phone 1I:
Ci ty: ( ILt1:: ?u; <7 {r State: c?~-
,
<g"{ S"" - '11'157
Zip: 97 L(':z- Ce,.
,.
Value of Fence~ '-;,-00
Fence Permit is $5.00
Contractor/Installer:
12l V<C..V2- -b E:.f'\.J&
{c\-,.,......,.;;s
"T' ..v~ .
Address:
Phone II:
City:
State:
Zip:
EXPires:#"
Construction Contractors Registration II: -rffJO 2-1
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.
/2rv~. / fl. Ct'~
Signa ture ( ;I
7/5/ /q~""----
D~e I
.
FOR OFFICE USE
Receipt II
/~<;7*7
Issued By:
JOB II: <9. S2:>/~
/Z~-
,//
Date of Application:
?-3/"95'"
Total Amount Collected:
?":~tt?
Checked for Delinquencies:
Checked for Historical Status: