HomeMy WebLinkAboutOccupancy Correspondence 1984-11-20
7 ;/~~7)4V' 1/- 2. 7-~4
CITY 'OF SPRINGFIEL - .'
Department of Public l
Building Safety Division
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus,) 726-3769 (Insp,)
APPLICATION
DATE: 11/2o/fLI
JOB ADDRES'S: '37:5;2 K;;rlhrl//1
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OWNER: (er"'n/ R ~/ke VI
mmERS ADDRESS: CJ I h;). '6 1:];;1/,J ~ tElc:;t
APPLICANT: 5c). ff\...JL.
. APPLICANTS ADDRESS: ~~
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FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 751/-:2159' -. I
, 7?/~ - ,,)Of.j '3 (f-(c)r"'~:
PROPOSED USE: wOcJdUJ() i~h~'!,... d.O/l \ '
f
. A $30,00 INSPECTION FE IS REQUIRED AT THE TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OvlliER OF THE PROFERTY TO
BE INSPECTED,
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SIGNA~P~ OF' PROPERTY OHNER
FOR OFFICE USE ONLY
---------------------------------------------------------------------------
DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
DATE PAID:
RECEIPT NUMBER: lo~ ~f')f)
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COMMENTS:
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CITY OF SPRINGFIEL
Department of Public
Building Safety Division
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
APPLICATION
DATE: . '/1/2yfLI
JOB ADDRES'S: '3'R5;;Z j(;;;lhr~/'?
I
OWNER: (el"n~ R ~,'ke VI
mVNERS ADDRE~: 9(&;) g IA:;Y!l1,...,) Pd
APPLICANT: 5a ffVL
APPLICANTS ADDRESS: ~~
FOR ACCESS TO PROPERTY--PLEASE
Jdl?fP-8'1b83'"4
0"
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1/
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$2IJ-b' .
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PROPOSED USE: WOCJdloo rk/;r,a ~('?i.)
) y'
A $30.00 INSPECTION FEEYIS REQUIRED AT THE
OF APPLICATION
INCLUDE TELEPHONE NUMBER: 7L//-;)t.j. 51/ . ,
, ,
7~/~ -..)Oi!3 (;..!c)rf'l~ I
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TIME
THIS APPLICATION FORM MUST BE SIGNED BY THE OlmER OF THE PROPERTY TO
BE INSPECTED,
P(MW~~~ul~
SIGNA~~ OF PROPERTy'OlVNER
FOR OFFICE USE ONLY
---------------------------------------------------------------------------
DATE OF INSPECTION: //-27-8'1
DATE OF REPORT:
RECEIPT NUMBER:
DATE PAID:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:j- ?'7'?i'f.'YZ-<:GIii' ~~~ ;?~:':'?'::.J' /'?;--;;,.', (';",,::-;>, ":!"
7 ~ ;) r- ~--"k.rS'"'.
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CITY OF SPRINGFIEL. '
Department of Public l ks
Building Safety Division
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
.
OCCUPANCY INSPECTION
APPLICATION
DATE: '/0~fLI
JOB ADDRE;S: '3'R5~ /(;;;fhn~/1
OWNER: . ((!r--n/ R ~j'(e VI I
OImERS ADDRESS: 91/t;;). <8 1%1111;;; r2d
APPLICANT: 561 m..e..
APPLICANTS ADDRESS: ~
FOR ACCESS TO PROPERTY--PLEASE
JC?L3'-!P- 8> 'log 3'4
0"
5f:5fr)d,
r-
;pf.id ,
/;~'
PROPOSED USE: Wo(")dl()_arb~_? <ftxJ
A $30.00 INSPECTION FE~IS RE-QU~DAT THE
OF APPLICATION
INCLUDE TELEPHONE NUMBER: 75//-:2134/ ..
7&/1a-~O'l3 (Uo/'YI-Q.'j
\ .
./
TIME
THIS APPLICATION FORM MUST BE SIGNED BY THE OvillER OF THE PROPERTY TO
BE INSPECTED.
. SIr:(~o;f.!~
FOR OFFICE USE ONLY
---------------------------------------------------------------------------
DATE OF INSPECTION:
RECEIPT NUMBER:
DATE PAID:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: