HomeMy WebLinkAboutOccupancy Correspondence 1991-1-10
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ME,_RANDUM
/-8~ ,19901\"
TO: . ~ JPYt .
FROM: Lisa
SUBJECT:
Inspection Reque~t
.6)
[!;J
~ttached is a request for a~) M
. include in my. let ter by _ _ /
Thank you.
CITY OFSPRINtlljELD
-?<<J /ffir /)fiIJ 4t Iif-
inspection.. Once you
information that I may need to
CITY OF SPRINGFIELD ~
Department of Planning and De.ment
Building Safety Divi....
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
~\ 0005
SPRINGFIELD
~
OCCUPANCY INSP~
APPLICATION
DATE: /-/()-9/
JOB ADDRESS: e=\\{)D ~ n\ m n..
OWNER: DOkJI\JA RF:Pt'll.ll ~
OWNERS ADDRESS: ,t:](,,() Jd/J:ff2~AJ XRIIJ6.C I A 191" ~ff<IN;,fit,;'uJ lJ~91(j 77
APPLICANT: S-PR 1f\J(7 C, €LiJ ffl ITH (I p/IJ TE12-
APPLICANTS ADDRESS: htJO l-lo.ybEN 'ArtDfort- l~ f..fNI&r:.'~L.b /;).1<- 9 N77
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 7'{7-0/1./(.,
,.
PROPOSED USE: (hUfL'" '<:-11 (\~(J~ i 1.Jer/IleSDIJj tYleet!!&:.Rootns.lJL60 at/a S~c.e<
A $ 35.00 INSPECTION FEE IS REQUIRED AT THE TIME
OF APPLICATION -
THIS APPLICATION FORM MUST BE SIGNED BY THE .OvlliER OF THE PROPERTY TO
BE INSPECTED.
.JA~~~MtJj~
S~N;;;;;~;/pJp'ERTY OWNER
FOR OFFICE USE ONLY
---------------------------------------------------------------------------
DATE OF INSPECTION:cV. J -{ 24 .Ct} RECEIPT NUMBER: rer I ~PJ
DATE OF REPORT: DATE PAID: ! --fl5~q(
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: