HomeMy WebLinkAboutOccupancy Correspondence 1987-2-2
CITY OF SPRINGFIEL.
Department of Planning and De ,pment
Building Safety Division
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
OCCUPANCY INSPE8It0N
.,11 APPLICATION
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SPRINGFIELD
DATE: FFl,\2.uA-<2--r -z.. \'"\ ~l
JOB ADDRESS: I '"" ~S- 1', I A" -.-...\. c:-.. "'2>\.
OWNER: J>1=:.t-.J"-.l \ c:;.' e.. E- ~ \.>
OIoJNERS ADDRESS: zB ~6 "C>\2.'i C, ulC ~, 3' PrC..'f::. <:;.0r-J l.U T
APPLICANT: SPrLt? ~ ~~~\' CrAi.'-'\&=-F
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APPLICANTS ADDRESS: 16S7 ~D\=.sLSC:>f-..J u.J. SPf?JrJ.GI::/cCD '1,<:\ 77
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER:
/I'--A. ~ '?-E... E.. v (~<.., "7 L.. c... - ~ s:- z.. ""
PROPOSED USE: C'.\.\.1l D. CAe.~ r- A<.~ U i"'\ - z.o C~-\I LD\c.\S~
A $ 35.00 INSPECTION FEE IS REQUIRED, AT THE TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE o.rnER OF THE PROPERTY TO
BE INSPECTED.
~E:e.. Au~'Z.tA,.\\o,,-( Wli"(+ <:\l"E ~(E.<<-:I 4f'I'~
SIGNATURE OF PROPERTY OIoJNER .""7. ,"'II ~
-SU81.\..o..\\Tf'-~ c'(" v'-\,JU.... c....~
FOR OFFICE USE ONLY R.:e. oWilJ~ ~ ~\C.A-i'-ll
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DATE OF INSPECTION:
RECEIPT NUMBER: f? t, 7?LfLj
DATE PAID: :2 - ;2 - ff' 1
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: