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HomeMy WebLinkAboutOccupancy Correspondence 1983-10-10 CITY OF SPRINGFIELD. Department of Public Wo Building Safety Division 225 North 5th Street Springfield, Oregon 97477 726-3753 (Bus.) 726-3769 (Insp,) OCCUPANCY INSPEC~i APPLICATION SPRINGFIELD R?:tl\~\ DATE: /0-10- t'3 JOB ADDRESS: 33'U> 12- JIYUl)STJ?IAL .-11/8 ~ '7IFL). OWNER: Berry L-G/!./FF(Tff / jJAr/lICIA /11. KAA1/AJ(X) d64. 011 SH/ICT/ OIVNERS ADDRES S : "3 ~ J..O IfL- J IV IJ V 5'r;e tilt.- /t1J~ S P ft) , APPLICANT: f/g-rT Y 6fL/ ff/IH APPLICANTS ADDRESS: 3;;2-{) ri- I/-./()(/S ~I/Jl- A1It5. FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 5PHJ ' 71,/6-tJS" PROPOSED USE: -:F/LK<C-I!-{gr"'v '-r I SIf-/I2.T /11~l)r-1c..:lvl2-~ A $30,00 INSPECTION FEE IS REQUIRED, AT THE TIME OF APPLICATION - THIS APPLICATION FORM MUST BE SIGNED BY THE OllliER OF THE PROPERTY TO BE INSPECTED, ~oT: SIGNA~ OF PRO FOR OFFICE USE ONLY DATE OF INSPECTION: \0 - \~ -~~ RECEIPT NUMB~~: ' tJ'J{%.V1 DATE PAID: r V ~,!. \() t DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS:'?c->~\.~ ~ '\\\r~\\.i'I\'\ \()-7S -<;:<.,~ . '\~~~ \."\(\'e~ \.l\:"" ~e~~,,\(,,\.\'<'\E>A. \~" ~(>'\\'N""\,~ ~-r- ~ \., ~C"'\ \...\ r"- ~ \.