HomeMy WebLinkAboutBusiness License License 1995-1-24
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LICENSE NO 940611
AMOUNT REC'D $40. 00
DATE 1/24/95
# OF UNITS
D RENEWAL
CITY OF SPRINGFIELD
BUSINESS LICENSE
CONTROL COpy
LICENSE TYPE ALARM SYSTEM
EXPIRES TNOEFTNTTF
~;;~:R/EMPLOYEE TERRI WAGS1R
PHONE NUMBER
747-4279
PHONE NUMBER
4380 KALMIA
SPRINGFIELD OR 97478
747-4279
BUSINESS
LOCATION
BUSINESS NAME TERRI WAGNER
d3~1r:~~l1t.i
4380 KALMIA
MAILING
ADDRESS
CITY, STATE, ZIP _ SPRI NGFI ELD OR 97478
CITY, STATE, ZIP
LICENSE APPROVAL
APPROVED
PD: {l..l1ffED 3D J frN qr
_ DS: tDu;n~D dLj ~AN q~
COMMENTS
DATE
,.
DATE
DATE
-AL1RH StSTEH PERMIT - $40 FEE
CITY OF SPRINGFIELD
DEVELOPMENT SERVICES
225 FIFTH STREET
SPRINGFIELD OR 97477
DATE: /:2/:J.. 't / q L/
IS THE ALARM SYSTEM BEING INSTALLED AT A RESIDENTIAL OR BUSINESS
LOCATION?
RESIDENTIAL
x
BUSINESS
If a residentially installed system, please complete questions
1 through 6. If the system is being installed at a business
location, please complete questions 7 through 13.
1. Name: -rerr/ tUaaner-
2. Address:' 438iJ Wm~
Ci ty: .Jp.n't1j...j}f" iLl State: ifed/J1'1 Zip: Q1'-t'78
3. Phone Number: 'R5l7t.f1-'fz7Cj4. D~e of Birth:_I/J-()/-6'L
5. Is the system being installed by the homeowner? Yes
No X
If no, then indicate the company that will be installing the 8larm
system:
AD!
6. Date of installation: - / / /z - /112./9tJ
- - - - - - - - - - - - - - - - - - - - - - -
7. Business name (only if system was installed in business):
8. Owner Name:
9. Owner date of birth:
10. Business address:
City: State:
11. Phone Number:
Zip:
12. Company that installed alarm system:
13. Date of installation:
ELECTRICAL PERMIT-REQUIRED
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