HomeMy WebLinkAboutPermit Occupancy 1978-09-05OT.4UPANCY INSPEC] ION APIiLICATION '_i|,05
EXISTING ]]UILDINGS
CITY OE SI'ITINGIIIiJLD
B UILDING D]|I,AR1}1I,NT
Date:
Job Addrcss
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A $20 ins ecEion f ee is required at Ehe time of application.
/nris AppLrcATroN FoRly Musr BE SIGNED BY THE OI,J}IER OF TI]E PROPERTY TO tsE IN CTED.
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Dutc of Insi:ccLion: 7-*7 I)irl-c oI CofC:
Receipt No. : .. ! _
ate of Repor!:
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CITY OF SPRINGFIELD, OREGON
Public Works
JOB ADDRESS
Ha2?z*4"'LlnspectorlsMbmo
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BUILDING DEPARTMENT
PW.1 1
DATE q -{- 78
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