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
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DATE: l1~~;/, /917
JOB ADDRESS: IOQO ~ hJtt.d-
OWNER: ~,.>/~~u/ C/o ~,.&.dUu.~ Aa/~f
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mVNERS ADDRESS: <<.0/ E j/t!! .Gu~. C1L '17t.to/
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. APPLICANT: .Lf A.~- <.. -
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.APPLICANTS ADDRESS:
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE
b'l~~.~'~
NUMBER:~ ~
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PROPOSED USE: MtlM..4l. ~~ -h ~
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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.
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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: