HomeMy WebLinkAboutPermit Application 1988-6-17
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CITY OF SPRINGFIELD
Department of Planning and Dev~.' pment
Building Safety Divis~
225 North 5th Street
. Springfield, Oregon 97477
! 726-3753 (Bus.) 726-3769 (Insp,)
. HOUSING INSPECTIce
APPLICATION
SPRINGFIELD
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DATE: (,-/7 - ,R9
JOB ADDRESS: /7;)0~. A .sTREET
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Olo/NER:
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OWNERS ADDRESS:
APPLICANT: ,1;;J07
APPLICANTS ADDRESS:
W-n FRANKl..iAl
HAPd/
:10 120 FRAM:LiN
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(-;z'" "M ~!...
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FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER:
.<1/2-J/2/
A $35.00 INSPECTION FEE IS REQUIRED AT THE TIJ.1E OF !-
APPLICATION ~ ~ ;; l......r~
THIS APPLICATION FORM MUST BE SIGNED BY THE O~~ER OF THE PROPERTY TO BE
INSPECTED,
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SIGNATU~i OF
FOR OFFICE USE ONLY
DATE OF INSPECTION:
RECEIPT NillfBER: \ \ 13~
DATE PAID: 10 - 1"1 - ~ ~
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COHMENTS:
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CITY OF SPRINGFIELD
. Depart~~nt of Pldnning and Dev.pment
: Building Safety Divis
. 225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp,)
}1l'>~t?.! :r~:1/ ~ 2t:!MJ
DATE: f-/7- f59
JOB ADDRESS: / 7:J () ~, A
OI.JNER :
.Ti #1 1/4P,./ y'
~/~~ .
-J.!')YSI/:a- I~SPECTI
APPLICATION
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Rill i) . /(-,ZD.) 1i /4-I..J I I'l:
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OWNERS ADDRESS:
APPLICANT: ,1;_
APPLICANTS ADDRESS:
.W I') Fl.? AN k'J /1./
H/lhl )'
:)0:10 FRANtLiN
J1L liD.
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: ,:(i/:J-1/2/
J)PILiPHmr!\" .:-~~ J,.Jn j)~/{Oj -t2I.1J~M ?~ -,.?~
A $35. DO INSPECTION FEE IS REQUIRED AT THE TUlE OF
APPLICATION
THIS APPLICATION FORH MUST BE SIGNED BY TEE Oh~ER OF THE PROPERTY TO BE
INSPECTED,
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.
, ,
J I
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~!.-t~ \:" :/'l-f /.(t4
SIGNATU~i OF PROPERT~?6h~ER
v
FOR OFFICE USE ONLY
DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
RECEIPT NillmER: \ \"1 3~
DATE PAID: 10 - 1'1 - "3 ''is'
NeB) P J -,- )JJ"'{II~ 10/1) W.,.h~
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COI1MENTS:
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