HomeMy WebLinkAboutOccupancy Correspondence 1988-3-3
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 INSPE~N
APPLICATION
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DATE: MA..~c.H S, \"1.5B bl 'JfA ::ft: ?;lO( Zf'
JOB ADDRESS: \ 0 -, \ 1-4~I<:.L0L.0 ~(-\D , 'S,Pt:IN{7 1"-1 ELD
OWNER: :t:.1'\'l\t;, A.ND '?;..ON\,,^'i COLE. ( 'Sf.LLE..~ ')
..... -
O1VNERS ADDRESS: 10., \ \~AeLOL0 12..,"")A;b.
APPLICANT: tv..11::E,. e.V~"::" 1.1l.../'J.1> i"'LA."-'>/...lIN.(.., c....Y--lSUL\P,N\~FVeCf-\P6E.c)
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APPLICANTS ADDRESS: za'! 0
FOR ACCESS TO PROPERTY--PLEASE
7Z.t.. - DS 74( ~ Fie.')
PROPOSED USE: .::pK..aFE.SSIDNAL C)FF1C.r_ ,(z. P-IV\PLO'lE,ES)
- '
SI, , 'St"K:.IN(..,F-IE:LD, OiZ-
INCLUDE TELEPHONE NUMBER: 17..?o - e:6 Z. ~ Pul?cW\S~
A $ 35.00
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INSPECTION FEE IS REQUIRED AT THE TIME
, OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OvmER OF THE PROPERTY TO
BE INSPECTED,
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SIGNATURE OF PROPERTY OIVNER
FOR OFFICE USE ONLY
-------------------------------------------,--------------------------------
DATE OF INSPECTION:
DATE OF ,REPORT:
RECEIPT NUMBER: 110103>
DATE PAID:, 3. - .3 - "6Y
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: