HomeMy WebLinkAboutPermit Fence 1990-4-27
"
.
,
.
FENCE PERMIT APPLICATION
CITY OF SPRINGFIELD
BUILDING SAFETY DIVISION
225 Fifth Street
Springfield, Oregon 97477
Office: 726-3759
INSPECTION LINE: 726-3769
Job Location :/27 Scn 7rsE)l-f.YJn
Assessors Map II: I f}()5c-O'7~Gl
Owner: 13; l//I;uvdIJn Q--,'Y:tfl)dj , Hoje..,
Address: 727 :S r r) -r.!-sh{ p nil!
City: S,Or'5fl0!; f'{ J \....0'
I V
Va 1 ue of Fence: 1$ 360, OD
Tax Lot #: (jQnnn
Phone
#: 71/ L/L/l/9 '
zip:.:IZ/77
State: (') fZ-
Fence Permit is $5.00
ContractorlInstaller: tJw vv-e.v
Address:
Phone #:
City:
State:
Zip:
Construction Contractors Registration #:
Expires:
By signing this permitlapplication, I agree to call for an inspection once my
fence has been constructed (726-3769). I also state that all information on
this applicationlpermit is correct and that I was provided with the Springfield
Development Code requirements for fence standards.
<. Sc'lMr~ t1n 0 !l _
Signature \J
(j -d'1~ q 0
Uate
. FOR OFFICE USE
Receipt #:
i(/lhb
Issued By: ~
~0D
Job #: -(j,,, '-76~C\ff':Al6\
Date of Application: tJ -Z7 -'10
Total Amount Collected:
Checked for Delinquencies:
I
Checked for Historical Status: ~