HomeMy WebLinkAboutPermit Housing Code 1983-10-19
CITY OF SPRINGFIELC
Department of Public W~rks
BUlldlng Safety Dlvlslon
225 North 5th Street
Sprlngfleld, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
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HOUSI~G INSPECTION
APPLICATION
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DATE I~-- fq - ~3 '\ Lf ~oY
JOB ADDRESS ~ . '_ . ': I " ]i(;;v ~ _ ... ;}03
OWNER. ~ CL\ro>'\..e. S 2 v .-~ s+ (31"a.7- I ~.......d
OWNERS ADDRESS 'Lc'o 3'f Ce.l.....+e..(.......v-,' CL \ t3(vcP~
APPLICANT
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APPLICANTS ADDRESS
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER r-r4/~ 2 35'1 (~....'.e)
WoRK 7z(;,-/ ZOO C;cT r39
A $30 00 INSPECTION FEE IS REQUIRED AT THE TUfE OF
APPLICATION
,
THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE
INSPECTED
~vVLM?:, &-- - ~~
S~NATURE OF PROPERTY OWNER
FOR OFFICE USE ONLY
------------------------------------------------------------------------------
DATE OF INSPECTION
RECEIPT NUMBER Lo \'btp I
DATE PAID /0 - /q - R::<'
DATE OF REPORT
DATE OF CERTIFICATE OF COMPLIANCE
COMMENTS
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CITY OF SPRINGFIELr
Depa rtmen t of Pub 11 C H". ks
BU11d1ng Safety D1V1S1on
225 North 5th Street
Spr1ngf1e1d, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
I c::J IS, ()
HOUSI~G INSPECTluN
APPLICATION
DATE /~- ~ (q - ??"3 ?A ~fnjJ1.LOj)
~ l< /I ioC'-', ~iL.;lit;>~.
JOB ADDRESS ~ _ ... ~ I '!II..... _ _.
OWNER ~ a... "'" .e.. S ~ v ._ ~ <:;1- (3 ya.1- {ct____cP
OWNERS ADDRESS 203Lf Ce.h.+e.v-.<"--: CL \ t3(v.J~
/
APPLICANT
Sc::>c ___ -e.
APPLICANTS ADDRESS
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER t-r 4/ # 2 35'1 (~...\. e)
VJo~/:: '7z~-/2.o0 C;cT (39
A $30 00 INSPECTION FEE IS REQUIRED AT THE TIME OF
APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE
INSPECTED
~/VVLM~, &~_.~
S~NATURE OF PROPERTY OWNER
FOR OFFICE USE ONLY
------------------------------------------------------------------------------
DATE OF INSPECTION
RECEIPT NUMBER lo \1> (PI
DATE PAID /0 -jq-!?3
DATE OF REPORT
DATE OF CERTIFICATE OF COMPLIANCE
COMMENTS
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CITY OF SPRINGFI~
Department of Publl~~S
BUlldlng Safety Dlvlslon
225 North 5th Street
Sprlngfleld, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp )
_ l('e..::i:l:. 9;-=:'2. \SC'J
HOUSI~G INSPE~
APPLICATION
DATE /~~ - (q - ??"3 3L( _fn,1JLLoY
.. " " "- I .... dl.o ~.
JOB ADDRESS ~ _ " JJ '!!lI' I . _ _
OWNER ~ GL ""'" ~ s 2: v .- ~ S+ (3 I"" a. 7- I ~ .......cP
OWNERS ADDRESS '2.. (0 3 Lf Ce. h. + ~l---. v- \' <=L I t3 ( V d ~
APPLICAnT
Sa. vv- -e.
APPLICANTS ADDRESS
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER ~ 4/. 2 35'1 (~....\. e)
UJor<.1: 7"2r;.-/2.00 CiCT (39
A $30 00 INSPECTION FEE IS REQUIRED AT THE TruE OF
APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE
INSPECTED
~NYLM E, &-- - ftf);o . ,---dJ
S~NATURE OF PROPERTY OWNER
FOR OFFICE USE ONLY
------------------------------------------------------------------------------
DATE OF INSPECTIO!J /t/ ~,;l--7P~..?
DATE OF REPORT /tJ - ;29'- y-2
DATE OF CERTIFICATE OF COMPLIANCE
COMMENTS }...,G;>--~ ~ /l4-<l//' ~ 0
RECEIPT NUMBER Lo \?>lo I
DATE PAID /0 - /q- R,~
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