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HomeMy WebLinkAboutOccupancy Application 1988-10-3 , I ~llT Ut ~PRINGFIELD Department of Planning and Development Building Safe~y Divis~ 225 North 5th Stree~ Springfield, Oregon 97477 726-3753 (Bus.) 726-3769 (Insp.) OCCUPANCY INSPE~ON APPLICATIOIll' JOB ADDRESS: ~L L~I~ -*- 3gV<610 2~~ DATE: ocro~ 3. l"')~ OWNER:. A t-"\A rH;=-;>_; ro. fAr,;-.::-N7 +veL- ('),.J~\ OImERS ADDRESS: -'1'<1- 1M. t:, f2:DAJ:::>Y\J A. '( MAc..k.,"',,^,ON k., );- ~ D1L l 0), "'tOI APPLICANT: f'1Af2V ANN APPLICANTS ADDRESS: IU., Tr2t:-c.: 1;L1I > , f2: ~~ r;=, Jr. i='iV;;' D<2- ~ 7 40 <:; . , FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: ~"'\Z-5Z.~'5 '\ 3~2. -7712... / "... ? .- Z'-~f"_ ~ - - ~ PROPOSED USE: "-J16.1-FI O....JJfL, /f2.Y;:<;'A\,It2A/V'l . A $ 35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OllliER OF THE PROPERTY TO BE INSPECTED. --udJ (k~L~ "1~ "sIGNATURE OF PROPERTY OImER ~ ~ FOR OFFICE USE ONLY --------------------------------------------------------------------------- DATE OF INSPECTION: RECEIPT NUMBER: DATE PAID: / 2- t(qy Ie - 4-f{ DATE OF REPORT: DATE OF CERTIFICATE OF COt'!]?)" ".:ANCE: COMMENTS: . . . 'I! ~,~ '7'.20"0 tV1 t;;C-( e' e q"-d ,'1 ~'\€) - fi:,'i' .!J ~- 7J~ rUt}1<.. ~~/;<'t'I/ s, r' ~~. e SfflV~ _ 7 e(J-f) --If, . /hA-e.. ~o )(./ ~ ' - 3 <:?f'l - . -~ , /3 ;2.ao ~T ~g-.rp.- ,~/~'7~-+--' .' / ]ylif/e& kN#u. e (187 ~ee'J 2. ) R13S77tU,e.,tbJ -r 3~,D /(3 is'S,r. -" ~~/~ Irpe; ~ () ~/eE /~20 . . .~~ ___.: I~cro t: .~ JoVMa87 ' C,/,e(JAt~v;v S'7~~,p/)~ ./ ~ Tor 2. 2~~ 5...';:: ;4~ s 13 I/o --- 14/