Loading...
HomeMy WebLinkAboutOccupancy Correspondence 1985-12-24 (2) ! CITY OF SPRINGFIELO " ; Department of Planning and Deve nt Building Safety Divisio 225 North 5th Street Springfield, Oregon 97477 1726-3753 (Bus.) 726-3769 (Insp.) f \ 'Sho.-J~ ~ , (, ",1 /'10,::-' - - ~'-!;i. DATE: ;/;'/7" H (;,..t\-d- ____ . JOB ADD~~;j triA//? Ji(/~,;/(12U (' ; - .. . .__ d- . () OWNER: ----" 1\ I O\.JNERS ADDRESS! .,fVj)WS PI[.&. O~CUPANCY Hl~: APPLICATION SPRINGFIELD ~ rs II fo[) )(Jy./ulf.a) , . ! - - ,/ ~ ((1)1/1,/>\ J f<f'/LfJ f{//h,f1.'_ (C t..U1.,'UI ~ CCc.u~d. ) APPLICANT: 7hM:LJ ,,---II? /J/1/lI~ '-ii J/ /7;/LIfl-f ~ APPLICANTS AD~RESS:fl./). t717 \ ,")'Ja 'S'yu~dI, ({)/ C)JLj11 FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 7LJ/!>\-=J:Q.:::SJ ~ ; fJ f (/{}vJ!.- (liA C P m ~ "I) in. -h ~ 9-> hBld JJ.!L 0 -b m,1 . / -I-hr:.? t' j L) /1..1) m? J.. ~ ~'i '--I-hrcJt'L.\,/1/)'Ld-t/lf- o:..a.u.. VJ IJ,Q.tU;'l:r/J. m~(2t. tuA..1.:lL.; C-f..U1..11.j?,.i JJ{).(V..CI ct:.'UU.~. -~ Z;' PROPOS-ED USE: -I< r:d.H..U'/' />.,./,~ //j[) ~"':yI. 1 ,": d (l/I; 1'1 ,-\J 17/' A $30.~o INSPECTION ;EE IflR~QUIREDAT THE TIME cr-, OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE o,mER OF THE PROPERTY TO BE INSPECTED. W{Uc~cJ (D. p') * '-- -- SIGNATURE OF PROPERTY O\.JNER FOR OFFICE USE ONLY --------------------------------------------------------------------------- DATE OF INSPECtION: RECEIPT NUMBER: D [;57 7 ~' DATE PAID: 12. - ;< </- K f> DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: ('.~Q ~'-~ vJ~'fic'tC-::J 4 7'16- S.;J 3b AAA TLA~j~/ ' ^In i(R:?UlRf=3MG. '/-..<; F!.Q ~j8.DJX. '~7>>ur::ruA?F ""f13 '>A.uT ~Vl.(&) -X/J StI.<Ynl! FIK.7URB 1 Ayu{j"'mliUT ~r Ii) ,;},d87? TO ~ml,rFJJ~hJl,n J',~, 77'1'0.+1)[ .h41::~01',rJA};=57"" .P'~/~ ,;nI).')~P7('-A[!f)/. j( T() HA1~;I; #dIJ(i ~ ~ ~n /Vz~~J ,