HomeMy WebLinkAboutOccupancy Correspondence 1983-3-17
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OCCUPANCY INSPECTION APPLICATION
EXISTING BUILDINGS
CITY OF SPRINGFIELD
BUILDING DEPARTMENT
DATE 3~/)-K3
JOB ADDRESS
2634 Centenn la 1 Bl vd
NUMBER OF UNITS
OI.JNER
Deot of HUD
OWNERS ADDRESS
APPLICANT
APPLICANTS ADDRESS
520 S W Sixth Avenue Portland, Or 97204
STATE Realty, A M B !HUD
11+3 Mad I son
Eugene, Or. 97402
FOR ACCESS TO PROPERTY - PLEASE INCLUDE TELEPHONE NUMBER
686-1971
HUD lock box on property
A $24.00 INSPECTION FEE IS REQUIRED AT THE TUm
OF APPLICATION
THIS APPLICATION FOID1 ~ruST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE
INSPECTED STATE ~C~ A M B /HUD
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SIGNATURE OF PROPE~OWN-ER
~ W H~, Broker
FOR OFFICE USE ONLY
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DATE OF INSPECTION
DATE OF REPORT
REMARKS
DATE OF CERT, OF COMPLIANCE
RECEIPT NUMBER
11