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HomeMy WebLinkAboutOccupancy Housing Code 1983-2-4 . . <6305S+ HOUSING INSPECTION APPLICATION EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPARTMENT DATE: 2-4-83 JOB ADDRESS: 2384DDornoch St. Sorinafield. Or_ NUMBER OF UNITS: - i OWNER: Secretary of Housing & Urban Development OWNERS ADDRESS: 520 S. W. Sixth Avenue Portland, Or. 97204 APPLICANT: a5*a~~e STATE Realty A.M.B./HUD APPLICANTS ADDRESS: ~jI;*~M>"~ 143 Madison Eugene, Or. 97402 FOR ACCESS TO PROPERTY - PLEASE INCLUDE TELEPHONE NUMBER: 686-1971 HUD Lock Box A $24.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE 'J INSPECTED. '.... SI~~ , PROPERTY OWNER -D} W. Haase, A.M.B./HUD FOR OFFICE USE ONLY ---------------------------------------------------------------------------- DATE OF INSPECTION: DATE OF CERT. OF COMPLIANCE: RECEIPT NUMBER: DATE OF REPORT: REMARKS: ~