HomeMy WebLinkAboutOccupancy Correspondence 1988-8-8
CITY OF SPRINGFIELD
Department of Planning and Dev~pment
Building Safety Divis'"
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
OCCUPANCY INSPEC~N
APPLICATION
DATE:~J9./~g
JOB ADDRESS: y q h
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OWNER: 11"\ A....,......2.
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THIS APPLICATION FORM MUST BE SIGNED BY THE O,mER OF THE PROPERTY TO
BE INSPECTED.
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SIGN5!URE OF PROPERTY OlfNER
FOR OFFICE USE ONLY
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DATE OF INSPECTION:
RECEIPT NUMBER:
DATE PAID:
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DATE OF REPORT:
DATE OF CERTIFICATE OF COHPLIANCE:
COMMENTS:
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