HomeMy WebLinkAboutOccupancy Correspondence 1990-7-10
, ., ./6"ITY 0 F S P R IN G FIE L D
Department of Planning and DevillPment
Building Safety Divisl~
225 North 5th Street
Springfield, Oregon 97477 ..
726-3753 (Bus.) 726-3769 (Insp.)
OCCUPANCY INSPEC~N
APPLICATION
SPRINGFIELD
DATE: 7-IO-9f)
JOB ADDRESS: 2..\ 0 Wit-I ~ r;,:T.
OWNER: ~'DWIL..1.... r""])V&TQIG:":S
mvNERS ADDRESS: s.s-S- SC'N6LA)
APPLICANT: LA R ?- 'i.
APPLICANTS ADDRES S : I '? 4-
-
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,
r . reST 974- 77
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FOR ACCESS TO PROPERTY - - PLEASE INCLUDE TELEPHONE NUMBER: 74'7 -q 9 ? r--
PROPOSED USE: C'...()IA.(\Ml)IN f1 '\ ~ \,(It ~ ~C4,A- L @FFI L E:, 9rf.iD r 1\ 5) .
A $ 35.00 INSPECTION FEE IS REQUIRED AT THE TIME .. .
OF APPLICATION .
THIS APPLICATION FORM MUST BE
BE INSPECTED.
SI~ BY T~ ;: T~ P~PERTI 1<
SIGN~ OF PROPERTY OWNER3~S'-!tD!
FOR OFFICE USE ONLY
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RECEIPT NUMBER: / 7 ( tJ (0 J
. .
DATE PAID: /j, 10 I q ()
, .
DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: