Loading...
HomeMy WebLinkAboutOccupancy Application 1996-6-3 DCV[l.OI'MFNr I;CIlVICCS OC!'NITW,NT "SP'n..FIEL~': ". .. , /.I~ t:<~ $1b ~ ??5 FIFTH smeeT .. SI'IiINGl-iCW, 011 UN II (541) 726-3/53 FAX (541) 726.3689 -~~ .-'f-t........ .. .,~,- . . @]f]}J @? ~ C91X!.=fifoJJ!} OCCUPANCY INSPECTION APPLICATION CITY OF SPRINGFIELD . BUILDING DIVISION =============================~==================~=============================== . . DATE: -10 1.'2,} 9 b J , \ I ' \ ADDRESS OF INSPECTION: _llaeJ ~I_ ''A. (I Jdvce.1 JOB NUMBER: jC,O 75"i' S' P{\~ 1f;J d..... , OlmER: ~ ~~r . Ol/NER'S AD;RESS: <:?22!... ~ ~V-;;. APPLICANT: T)O{)fll d t 4. )-€-o'f h iA Ad k ,. n 5 APPLICANT'S ADDRESS: 1./710 W. aD ,I' ~J:fl~"'-eJd. ()R FOR ACCESS TO PROPERTY - TELEPHONE NUMBER! 72;l7 ~ 7M 6 PHONE NUMBER: q111t . ================================================================================ PROPOSED USE: A hra~Jt pfftLe.-, J;)v,~/J<;.;ne~s ,r~f}:;u1i;Lt~.f1 (+'^" e.$j tf' re d. +, /(\ 1/f>.~rI~.Lfl.l rh/Je ~ ad (J IS ( no J . U A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATIO)/ . THIS APPLICATION FORM MUST BE SIGNED BY THE OlmER OF THE PROPERTY TO BE INSP~ .- GNATURE OF ~~ FOR OFFICE USE ONLY DATE PAID: 0/5'/'7~ RECEIPT NUMBER: 2-17'fYe, /~ DATE OF INSPECTION: DATE OF CERTiFICATE OF COMPLIANCE: COMMENTS: .DATE OF REPORT: ..', ; I , PROPOSE~ FLOOR PLAN REQUIRED AT TIME OF APPLICATION ,r /'.(1/'0 ,. ). ..' 'J .'- J. .. ~ ~ ,,' J ..\ .' < .J"rf I L \ lJ' \ I, / V .I J ~) <0 \. \J \J) "----..- ,- .\ ,I. I. ~ --;). ? . ~ p "'Y- i l<,.j()t?4.(j PA1CV ~J71 4/ ~/('II';; ,;I' +uQ (D 'I}- \ .v '!1- I DO" .vo') S V ~ (> ~ ~b;). "". I , .il., 7.../:...a.- //J'I " ,. ,,(.7"/(.; () ....~-~- -<;!;op ,~...,. 'V .(~ -:..,-) . . I ,6 I. I . <----'- \ i ............ ..'-."- ~l I I \~ I "';).. \ ,- --..- ,j I II " J.." ~QP." / ~ f'i x rl " J\ --- .!- ~ ------I , , -1 , '" ~ i ~ \ -00/\ )l. " .,)~~ \n~ "' .",'~ "" "t~. ~. ......:::? ~~~"?_p '~- $ ~ ~ )'? / '~ /.",;7... "\-..., ~ od/. . ,. ... \- . (y ,'- ....- '.\ ~ ;.~~. p --., }.--.-.-.., ,~., '. . ,. -- \.AJ.. \..-\ ~l.,.v ,--,,-' I ,;5 (' d -e.... uJ o.U->....0:'~I~h..b0 fPlf.erE A .,; '\ l)' "\ i ~ I t')( ((, VI 9 IbtJ N, II. st. I, ,.1' '.. , ,. ,. ',- " ,. '; , , ".~...< ."0 N ,\i \},