HomeMy WebLinkAboutPermit Fence 1995-10-30
FENCE PERHI'f APPLICATION
CITY OF SPRINGFIELD
BUILDING"' 'sAi'I::'l'Y DIVISION
225 North Fifth/Street
Springfield, Otegon .97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location: ) j !olJ- .jJ ~
Assessors Hap tll J7 03' 2S Lj 3 Tax Lot It: 05:00 J
O~nm ~ (Y. '24./>_.,~-V
'I\d~ress: /:JlafS ~~ Phone'1I:
CltY:~J>-~1r'lf"e- St.tc:!1::.. Zip: ,9'lJJj'7
Value of Fence: / j) j) [J . Fence Permi t is $5.00
)
,.
contractor/ln~ta.l1c.r: ~ Q_A> ;-c.df! ~I/
Address: /;)...( /7() <$)~ .~.,'J Phone 11:
City: '- \tf)~'t1~ State: OJ2...
r ,J '
.ConstLouction Cont~torS Registration II: -
'.
"
Zip:
77LJ77 "
"
Expires: -
Dy signing this perll\lt/application, I agree to ca:J,.l for an inspection once my
fence has been constructed (726-3769). I also stated that all informatio~ on
, this applica tion/permi t is COrrec t 'and tha t I was provided wi th the Sprlneficld
Dcvclopmcn t codc rcqui rcmcnts for fcncc ::; tandal:ds.
. ~~tJf. ~:.~ -,
.(J;,~JcJ -?~
Date
FOR OFFICE USE
.4" ...""
Date of APplication:. / 0-- 3/- 9S
Rccei'pt II O/9t.fSO
Jf- on
Total Amount Collected:'~ '5 -.
;:\
,.JOii'tl: QS /72-8:
D ~ ('/l(LcAad~f-
Issued Dy:
Checkcd fOLo 'Dclinquencies:
~
Checked for Historical StatllS: V--