HomeMy WebLinkAboutOccupancy Correspondence 1984-9-5 (2)
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CITY OF SPRINGFIELD",
>>~partment of Public W~s
Building Safety Division
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)'
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OCCUPANCY INSPECTION
APPLICATION
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DATE:
September 5,1984
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JOB ADDRESS:
727 Main street
OHNERS ADDRESS:
,624Q PeAl Lane. Sufd.
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OWNER:
J"mA" B. Pelliri
APPLICANT:
Art and Ruth Watters (agent: 'call Rollie Korinek - Accredited BrokEr
Real Estate)'
APPLICANTS ADDRESS:
220 Egst 16th Ave. EUgene
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 741-1625
PROPOSED USE: Beautv College (Confidential)
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A $30.00 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.
Q~JfBitt&
~TUREW/~OPERTY OHNER
FOR OFFICE USE ONLY :
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DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
'l~/!~ ?Y
RECEIPT NUMBER: t;.3 ~ V /
DATE 'PAID: 9' --- /2 .-9!f
COMMENTS: '
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. CITY OF SPRINGFIELO.,
Department of Public Works
Building Safety Division
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
OCCUPANCY INS~EC~N
.
APPLICATION
DATE: ' September 5, 1984
JOB ADDRESS:
727 Main street
OWNER:
.T~,m"" B. Peniri
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OIVNERS ADDRESS: ,624Q Peel Lane. Sufd.
APPLICANT: Art and Ruth Watters (aQ.'ent: :call Rollie Korinek - Accredited Broke ~s
Real Estate)
APPLICANTS ADDRESS:
220 East ,6th Ave. EuQ.'ene
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 741-1625
PROPOSED USE: Beautv ColleQ.'e (Confidential)
A $30.00 INSPECTION FEE IS REQUIRED, AT THE TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THEO,rnER OF THE PROPERTY TO
BE INSPECTED.
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TUP~~/~OPERTY OIVNER
FOR OFFICE USE ONLY
-----------------------------------------------~._--------------------------
DATE OF INSPECTION: q - / (------fJ /
RECEIPT NUMBER: ~ .3 ~<C..( / '
DATE PAID: q;,.:..- (;), rr7
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DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
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~ C,lty Hall
Sprlngflald', Oregon
Departmant of Public WOrl<a 0
OFFICIAL RECEIPT,
(, No. B 63541 0
-' Date 9/iJ 19 N ,',,','
(; Rec'd From~, uJ/J /7/J.A, ~ ).' 0
Address :l ~ {J G'" ~~ /4 C; ," . '
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Received For. ~ R ~ 0 (P <../ t. A
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CITY OF ~ 11NGFIELD
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Amount Received$ 20 f:!:f)
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AUTHORizEOSIGNATlJRE
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