Loading...
HomeMy WebLinkAboutPermit Fence 1994-4-18 . .- 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 Locatio~: c--Omo~<9D\L ~ 1J~ Assesso~ap #: (f]()?-/d.~. 0 Tax Lot #; CcidJ() Owner: 'l ill fI 0 ,ck n}cxf1t~ . . Address: ~ofJr'fS. \\!)~N\fJ 0hL' Phone #: 1{J(0-{]Q0(') City: ~lJ 1'( Sta~: ({LR ~ Zip: cn11~ Value of Fen1: 1 . fYY) contractor/Installe~: (C); 1 'Y'IrJp Fence Permit is $5.00 Address: Phone #: City: State: Zip: Construction Contractors Registration #: Expires: 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 was provided D~ ,.d. ,."i"."" ., f"" ""d"d,, Signa ture - Da te inspection once my all information on with the Springfield (j -/;? r/V FOR OFFICE USE Date of Application: 4- \8 ,~ \n.~/l~ - Total Amount COllect~d: ~ DO l ~ AOB It" q4U()~~ Byc..~(jJ (\ ) Receipt # Issued I - Checked for Delinquendes: Checked for Historical Status: