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HomeMy WebLinkAboutOccupancy Correspondence 1997-3-19 I I i>v '1' OCCUPANCY INSPECTION APPLICATION -..'...:.. 1 V ."",r..~, '._ '.,";, o " .,}. ~ I '.,., . _~ ) . ".;." .~"',~,,, """.- '.~>L1 .I " " ~.~. ~ ':. ,"..'_ ! '......, -~.,;'; ,....;'L. l!J r,L( .'.:T'Ur r.! 1.,.."" ..' ,;<1. ~ SPfIINC;F/CU). 011 U1477 (541) 726.3753 FAX (541) 726.3689 IJI VlJOi'MI.Nl :., 't\.'f\~!...; nl rJ":;Ulji ,'I, CITY OF SPRINGFIELD BUILDING DIVISION c========================================================c====================== DATE: 3//1-- '11 . JOB NUMBER: -37()~1 ADDRESS OF INSPECTION: ~ /7 <) LJ ~ V- . - ,7052-220 061 OV OIlNERrf. ~ . PHONE NUMBER:0LjI-67~_-5'63z:.. OIINER'S ADDRESS: ~L./'; -7..~~'~~ o-vJL APPLICANT/~:'-ff~ _ 9' 747 Z> . APPLICANT'S~riDRESS: -z,h:} $;.t;#.~?N () ~. "77Li77 FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: ~4 ( _ 1'1./7- 4 5"'3 ( ===e===================================================c======================== PR~OSED USE: /h.... , .J-O_~ ~.>- UL.......... ~: .. I- Md~_. ~_,u..... '!5'tj ( ~ ~ ~cU... ~ J/ vs r,) : ~SPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION . THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE '" }NSPECTEDY1 - . .x {I-.- k A / SIGNATU~ OF PROPERT(~ -------------------------------------------------------------------------------- FOR OFFICE USE ONLY ----------...-------------------------------------------------------------------- DATE PAID: ~ -/0 -cr1 RECEIPT NUMBER: CAU13 J DATE OF INSPECTION: .DATE OF REPORT: ......,... , DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: PRO~OSED FLOOR PLAN REQUIRED AT TIME OF APPLICATION . 'I i . . ,/ "~)-, --.. , . _ "j .., '. , -V' .' . . . C-G---t-' ~U C~ . j/7S,<!1 . ,v :"4{f~~/ctJ( D K , ' .' - ----'-..~~-~ , . . '.1-.9\,. d"'. , . .. ~ ~ ' ~". l,~ " '. ' .\'. .plf.JO ~~~.OH . ~ . ~t-l fAQ~ ~ rweT / /' ./ , / .' // .- . , /' , . ".' , ' ,-' ,/ ~ --I I .--~J ~ " " '~" ". " , ., ;;' .....'-_.... Ii . I. . .t.....~~w ' .... 'l I.....',....",." '., '. CJ:>i<.. 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