HomeMy WebLinkAboutPermit Fence 1994-8-2
-.
.
FENCE PERKIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 North Fifth Street
Springfield, Oregon 97477
Office:
INSPECTION LINE:
726-3759
726-3769
Job Location:
44/ $rg arT::,
/703 27
G-LE ,jJ
:?Je luE
Assessors Map 11:
Owner: ;< t1SS5 LL 'J'
/3
Tax Lot 11:
/)9/ t977
~
VlltUDETn-/
,T.
tJ y!)/}-f/YI
Address: /.j L/ I Sc.o T T S 6- L E tV;J JJ,e / uE
Ci ty: .sf'^" (ttlc.- t= IE L.D
S ta te: CJe..
Phone 11: "::;;'.3- 7</' -$7(;,2
_Zip: 97'-177
Value of Fence: 1ft:,,;2 <I ~3.-
Fence Permit is $5.00
Contractor/Installer: Set} TTY/S
FENCE
eo .
Address: SC:;O
~, </& "!-
sr
Phone 11:
'71-/ - 7f?1./-t,
City: ~/N?-.FI'E L.])
State:
()e.
?S70;;(
,zip: 97V7cf'
Expires: g -'1 - 9 'f
Construction Contractors Registration 11:
~y signing this permit/application, I agree to call for an inspection once my
fence has been constructed (726-3769). I also stated that all information on
this application/permit is correct and that I was provided with the Springfield
Devj\opment code requirements for fence standards.
'tJ/7Ch/P;' ) Q "J1",.-rrI-6<-nJ tf'- ~ - '1 JL'
Signature tJ (J Date
FOR OFFICE USE
Date of Application:
<$/2/ J;?
~~/'~ )I Issued
By:
Checked for Delinqu~n~fes:
/y-~
~
JOB 11: 9-1//?;~
ff4~-"""""
if .
Receipt 11
Total Amount Collected:
Checked for Historic~l St~tus: