HomeMy WebLinkAboutOccupancy Correspondence 1996-2-29
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SPRINGFIELD
.DEVELOPMENT SERVICES DEPARTMENT
OCCUPANCY INSPECTION APPLICATION
225 FIFT/-I STREET
SPRINGFIELD, OR 97477
(541) 726.3753
FAX (541) 726.3689
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: -::;( - '2'5'. %'
ADDRESS OF INSPECTION: \ tilL, \-\ AR LlHv
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OYNER: ~/Y2ILE RivE!< m.::;/ZJR.6
OYNER'S ADDRESS: f.iJ. ,.qg)c h.#o~ /~~
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APPLICANT:
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10.24
JOB NUMBER: . ~27'7
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PHONE NUMBER: ~~~
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. APPLICANT'S ADDRESS:
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: ~
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PROPOSED USE:
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OYNER OF THE PROPERTY TO BE
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FOR OFFICE USE ONLY
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DATE PAID: -::?--::?:7-%
RECEIPT NUMBER:
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DATE OF INSPECTION:
DATE OF CERTtFICATE OF COMPLIANCE:
DATE OF REPORT:
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COMMENTS:
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