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HomeMy WebLinkAboutOccupancy Correspondence 1983-3-17 .. -. <63104L 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 , ------:::: .-------' ~ - SIGNATURE OF PROPE~OWN-ER ~ W H~, Broker FOR OFFICE USE ONLY ---------------------------------------------------------------------------- DATE OF INSPECTION DATE OF REPORT REMARKS DATE OF CERT, OF COMPLIANCE RECEIPT NUMBER 11