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HomeMy WebLinkAboutOccupancy Correspondence 1987-2-2 (2) CITY OF SPRINGFIE.. Department of Planning and D lopment . . Building Safety Division 225 North 5th Street Springfield, Oregon 97477 726-3753 (Bus.) 726-3769 (Insp.) · SPRINGFIELD OCCUPANCY INS~ION APPLICATION 1oc{ . I ,Ii l.-( DATE: l1~~;/, /917 JOB ADDRESS: IOQO ~ hJtt.d- OWNER: ~,.>/~~u/ C/o ~,.&.dUu.~ Aa/~f J . () . r~' / mVNERS ADDRESS: <<.0/ E j/t!! .Gu~. C1L '17t.to/ u :;!d:..- f1VfJ15' . APPLICANT: .Lf A.~- <.. - ;. .APPLICANTS ADDRESS: FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE b'l~~.~'~ NUMBER:~ ~ ~t57-/~fJc.L , PROPOSED USE: MtlM..4l. ~~ -h ~ v , v, A $ 35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION . THIS APPLICATION FORM MUST BE SIGNED BY THE O~mER OF THE PROPERTY TO BE INSPECTED. vt~~. ~ . R FOR OFFICE USE ONLY DATE OF INSPECTION: RECEIPT NUMBER: 8/0 11tf3 . DATE PAID: J)-:;L -g"1J DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: