HomeMy WebLinkAboutPermit Miscellaneous 1988-07-18t.\
CITY OF SPRINGFIELD
Department of Planning and Develooment
3ui'i riing Safety Divisj.
225 North 5th StreetSpringfield, 0regon 97477
726-3753 (aus. ) 726-3769 (Insp.)
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FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPIiONE NTMBER: "v4?'2'7.{5'
OCCUPANCY INSPECT-"-\
APPLICATION
SPRINGFIELD
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A $ 35.00 INSPECTIoN FEE IS REQUIRED AT TIIE TIME
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THIS APPLICATION FORM MUST BE SIGNED BY TTIE OI.INER OF THE PROPERTY TO
BE INSPECTED.
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SIGNATUP.E OF PROPERTY OI\rNER.
FOR OFFICE USE ONLY
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M I\1U9DATE OF I}trSPECTION:
DATE OF REPORT
DATE OF CERTIFICATE OF CO},IPLIANCE
COMMENTS:
RECEIPT NIN,IBER
DATE PAID 1-zz-Et
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OCCUPANCY INSPECTION APPLICATION
EXISTING BUILDINGS
CITY OF SPRINGFIELD BUILDING DEPARTIUENT
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FOR ACCESS TO PROPERTY - TELEPHONE:726-sa/z
A $2O.OO INSPECTION FEE IS REQIJIRED AT THE TII{E OF APPLICATION
THIS APPLICATION FOR"I,{ MUST BE SIGNED BY TI-IE { 'NER OF THE PROEPTY TO BE INSPECTED
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FOR OFF]CE USE ONLY
Date of Inspection:Date of Cert. of ComPliance:
Date of Reoort 3 ReceiPt Number:
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