HomeMy WebLinkAboutOccupancy Correspondence 1990-5-24
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CITY OF SPRINGFIEL04l'.
Oep"rt!li~nt of Planning and Deve!O~i!\enl;
, Building S~fety Division
225 North 5th Street
Sprln~fie!ct. Oregon 97477 "
726-3753 (Sus.) 726-3769 (Insp.)
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OCCUP,\J'.)CY INSPECTION
APPLICATION
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JOB ADDRESS: 774 N. Main Street
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#4-333
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O'.'i;') ERS ADDR:':SS; 12655 W. Jefferson 81 vd.. Los Angeles. CA
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APPLICANT: .J:::::").z.,,. ') ,- e ,0,\ t- L-<.'.~." '-.) :?/( il I (' (;.
APPLICA!lTS ADDRESS:_l!f.j?r L,.,'L '; f!\ J-::-:-;;-'"l",'VLL c)(- q'L</(J& _
FOR ACCESS TO PROPER1'"i--PLEASE INCLUDE 'l'ELE:PHONc ~HJ!1BER: b 6<S 2, / S?.'1
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PROPOSED USE:
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A $ 35.00 INS?ECTION FE~ IS REQUIRED, AT THE TIME
OF APPLICATION
THIS APPLICATION FORB MDST BE SICNED BY TJ{E mINER OF THE 1'ROPER7Y TO
BE INSPECTED.
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COLLINS F?ODS INTERNAT~~~~IC.., Landlord
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SIGNATURE OF PROPERTY mmER
FOR OFFICE USE ONLY
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DA TF. 0:' P)SPECTIO:i:
RECEIPT NUHBER; tl::.- 11 'd..5<;;
DATE PAID: '" J..s:::.bn
D:',TE OF REPORT;
DATE OF CER,-;.":CATE OF COMPLIANCE:
COMMENTS:
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Evergreen Film Servit e
1412 W. 7th Avo. .
Eugone. OR 97402
(503) 686.2183
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Dennis Prichard
President
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