Loading...
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: '-I rf I -;:::;/1 qhttl ( ,4 I Assessors Map 1I:-L8-V::>2rt!) y.~ Ovner: 'i2.LU<G.lU'~ ~JJ kc-.-.z: s (_D. P--- ,_ <;..7"? City: C~~ ~c:z: (/ Tax Lot II: 41::/J3..-ti:> State: ~. Phone II: '%"t S- - t.-f'1. S '7 Zip: '{"7~~lp Address: OrL # ~~, Value of Fence: 1~ ~~ Fence Permit is $5.00 Contractor/Installer: ?-\UUL 13- ~"" d City: State: ~~S ~<!..' , Phone #: Zip: Expires: Y'lYh Address: ... Construction Contractors Registration #: 7C,-o 2 c:;- By signing this permit/application, I agree to call for an , fence has been constructed (726-3769). I also stated that this application/permit is correct and that I vas provided Development code requirements for fence standards. LJ;;tt-. / Sfgnature inspection once my all information on vith the Springfield 1/, cL /~ / - 7/~//YS--- Daf :1-/ FOR OFFICE USE Date of Application: 7-'71'-7.5- JOB I: "~:Z8t:: Receipt II~~ Total Amount Collected: Issued By: ~ , " .,.,. ...". Checked for Delinquencies: Checked for Historical Status: