HomeMy WebLinkAboutOccupancy Correspondence 1985-6-14
~ITY OF SPRINGFIE' '
Department of PubllC \ rks
\ BUlldlng Safety D1V1Slon
225 North 5th Street
Sprlngfleld, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
Q.,\lo.\'\ge ~
OCCUPANCY INSPECTION
APPLICATION
DATE c\L\()E> 14 - \q a~
JOB ADDRESS \7~(,) Qp,(\ie(\{\\(l\
OWNER iJlC/.!ay TAJi/EsTJJ?EA/7 ~, . "
OHNERS ADDRESS d</3oo OaKJ??onf Wa<;' ~dc ';?/</ k'1-"rJ':. (/j~,,?/m <?'7~o/
APPLICANT 'jOL\(I,o 1< Q~'P.AIIP 1)11P\ \-;). ~<; ("'(),?I? - K :!'/C" .
APPLICANTS ADDRESS \~()O (loP (\~I'" (\{\ ,'n \ % -3 (~LA.S \
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7.L/ J - :J()",') L
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FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER
PROPOSED USE OJ O~ L{ A> . \)('-l (\~ ~ \, t'l~
A $30 00 INSPECTION FEE IS REQUIRED AT THE TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE O.mER OF THE PROFERTY TO
BE INSPECTED
~_'J ~,X{:cL
SIGNATUP~ OF PROPERTY OHNER
FOR OFFICE USE ONLY
---------------------------------------------------------------------------
DATE OF INSPECTION
RECEIPT NUMBER
( rARS?
(LJ- /P.-R"
DATE OF REPORT
DATE OF CERTIFICATE OF COHPLIANCE
DATE PAID
~
COMMENTS
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{' CITY OF SPRINGFIE .
Department of PubllC ,
BUlldlng Safety Dlvlslon _.i.~_
225 North 5th Street
Springfleld, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
APPLICATION
SPRINGFIELD I
~~
DATE: (\ Lhl e ~ 14 - \ q & t:)
JOB ADDRESS \ 7 ~ ("')
;?,1~ay TAJt/E~r/77EAl7 G,
OHNERS ADDRESS d~"fOO (JaKfnonf UJa.<A, ~tTc .;?/</ ,c;,u?~n"" ,12.""6/>n 9'7<10/
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APPLICANT: ~OL\(I"'""B Q~("PAIIP -~~~ \.;), ~"'" 0'("I'?f,J- K ;l~.
APPLICANTS ADDRES'S \~()() O_p (\~J'" (\f\ ,'n \ ~ 3 (\-l.u.s ')
7.1./ 1- ,on:) L
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QE(\~e\,()\C\\
OWNER.
, ,
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FOR_bCCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER
PROPOSED USE C\ C)~ ({ A> . P"l (\\- ~ " I'"""'~
A $30.00 INSPECTION FEE IS REQUIRED AT THE TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OllliER OF THE PROPERTY TO
BE INSPECTED
M~~, , 7Jr~ ~-cL
SIGNATURE OF PROPE-m OHNER
FOR OFFICE USE ONLY
---------------------------------------------------------------------------
DATE OF INSPECTION, /,,_ ,,-1-';; 6~
DATE OF REPORT
DATE OF CERTIFICATE OF COMPLIANCE
COMMENTS'
RECEIPT NUMBER. {04RS7
DATE PAID (LJ-/~ -R"
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<f CITY OF SPRINGFIE
Department of PubllC
BUlldlng Safety 01V1Slon
225 North 5th Street
Sprlngfleld, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
APPLICATION
DATE C\L\np-, \4 - \q&~
JOB ADDRESS \ '7 ~ (')
OWNER. mlfay TAJV.,e:;rJ?7EN7 (1, . ~
OHNERS ADDRESS d/io 0 ()-?/j?>o,? f !.u6Uj. ~ dE 07/ t/ ,.LU9~nf,. ({)~9on 9'7<10/
APPLICANT 'jOL\(l1" ~ QP'\PAIIP ~~p\ \.;), ~<') 0'A?(,1- K :t,,.,
APPLICANTS ADDRESS \ ~ ()U 0.p {\ ~p n ('\ ,'n \ 4.3 ( \-l.u.s '\
FOR ACCESS TO PROPERTY--PLE1sM-fL~/ELEPHONE NUMBER 7.L/ / ~ /J()('.') L
O~0
Q p. C\~ e (\{) \ 0\
,
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PROPOSED USE OJ O-r ('{ A> . \)(-, C\\- ~ 'n r~
A $30.00 INSPECTION FEE IS REQUIRED AT TEE TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE O\mER OF THE PROPERTY TO
BE INSPECTED
~~_J'~ ~d~
SIGNATURE OF PROPERTY OI.JNER
FOR OFFICE USE ONLY
---------------------------------------------------------------------------
DATE OF INSPECTION
RECEIPT NUMBER
( rr4RS?
(LJ-/~-Ro:::::..
DATE OF REPORT
DATE OF CERTIFICATE OF COMPLIANCE
DATE PAID
~
COMMENTS, 'PRIJ!//~F
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