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HomeMy WebLinkAboutOccupancy Housing Code 1988-7-22 CITY OF SPRINGFIELD Department. of Planning an~v&ment Building Safety D~Sl~ 225 North 5th Street Springfield, Oregon 97477 726-3753 (Bus.) 726-3769 (Insp.) HOUSING INSP!"IdIIt APPLICATI N SPRINGFIELD DATE: '1/Z -Z/ ef t JOB ADDRESS: 1:J." '1 K~h ro....y I I.. <l> l;; 0 , C;:;~r" \I\"1..t:' <:= OHNER: OWNERS ADDRESS: APPLICANT: Il\" r +-: h. .{... fV\", {'- (0.... S VlI\ ; -f "'- APPLICANTS ADDRESS: 2/ f? r Deb 1"Cl... . S P f' " hI-+: \ ~ JJ..., . FOR ACCESS r1:f> f'J1 TO PROPERTY--PLEASE La... c...>eV\.Jex INCLUDE TELEPHONE NUMBER: ~ VI 7Cf6- 20tfY A $35.00 INSPECTION FEE IS REQUIRED AT THE TIHE OF APPLICATION ').'-1 THIS APPLICATION FORM }ruST BE SIGNED BY THE O~~ER OF THE PROPERTY TO BE INSPECTED. \of) C'--,P1?P~~ ~" ~/ SIGNATURE OF PROPERTY OWNER FOR OFFICE USE ONLY ------------------------------------------------------------------------------ DATE OF INSPECTION: RECEIPT NUHBER: (Z.OO.q DATE PAID: g 'I-~~ DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: COl1HENTS : &}03, b1