HomeMy WebLinkAboutOccupancy Correspondence 1988-8-24
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Plannlng & Development A'ITY OF SPRING-FIELa BUlldlng Dlvlslon
OFF~OF COMMUNITY AND ECONOMIC DEV~MENT ~~ ~~_
Job No s7~f~J~~L 225 North 5th Street Date . ~ 2.;> tJ~
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TY OF SPRING-FIEL
OFF~F COMMUNITY AND ECONOMIC DEVE MENT
225 North 5th Street
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**** CALL FOR INSPECTION 726-3769 ---- INFORMATION 726-3753 ****
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CITY OF SPRINGFIELD_
Department. of Plfnnlng and Deve.ent
'-' BUlldlng Safety Dlvlslon
225 North 5th Street
Sprlngfleld, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp
HOUSI~G INSPECTIO~
APPLICATION
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DATE
7/2- -z/ ,J t
:;2 ~ 9
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JOB ADDRESS
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OI-mERS ADDRESS
APPLICANT ^ <\ r +- ~ h. .(... Ma.. {'- ("" S VV\ ; -I h..
APPLICANTS ADDRESS 2/ g' l' Deb \"a... ,S P r,' " 1 -C. \" bL
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FOR ACCESS TO PROPERTY--PLEASE
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INCLUDE TELEPHONE NUMBER
7C:;6- 2007"
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A $35,00 INSPECTION FEE IS REQUIRED AT THE TIl1E OF
APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE O~~ER OF THE PROPERTY TO BE
INSPECTED
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SIGNATURE OF PROPERTY Ow~ER
FOR OFFICE USE ONLY
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DATE OF INSPECTION
RECEIPT NillmER
(7J)OCJ
~ - I - ~'K'
DATE OF REPORT
DATE OF CERTIFICATE OF COMPLIANCE
-~
DATE PAID
COl1l1ENTS