HomeMy WebLinkAboutOccupancy Housing Code 1991-2-22
CITY OF SPRINGFIELD
Department of Planning and D~opment
Building Safety Divi~n -
225 North 5th Street
Springfield, Oregon 97477--
726-3753 (Bus.) 726-3769 (Insp.)
HOUSIt'iG INSPECT.
APPLICATION -
SPRINGFIELD
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DATE: ~-f!? ?-7--,I'l"i'
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JOB ADDRESS: 88 I
OllliER: MQv\SoVl
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THIS APPLICATION FORM MUST BE SIGNED BY THE Oh~ER OF THE PROPERTY TO BE
INSPECTED.
5/':-.a- Job i=P'11 OILI$'
SIGNATURE OF PROPERTY OWNER
FOR OFFICE USE ONLY
DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
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RECEIPT NUMBER: I q '3 z. 2-
DATE PAID: 7. -2--2--q I
COl1MENTS: