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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 qot.{ I' I' 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) '- 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 ~r INSPECTION FEE IS REQUIRED AT THE TIME , OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OvmER OF THE PROPERTY TO BE INSPECTED, p~_,,_e~ ~~ '?. <;\~ 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: