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HomeMy WebLinkAboutOccupancy Application 1988-02-08.CITY OF SPRINGFIELD Department of Planning and De' lopment Bui 1 di ng Safety Di vi s . on 225 North 5th Street Springfie'l d, 0regon 97477 7?6-37s3 (gus. ) 726-3769 (Insp. ) OCCUPANCY INSPT-.ION APPLICATION SPRINGFlELD 2 /n? l4tv) "/t-z- Fes 4a 7 DArE, z^g-gt JOB ADDRESS: OWNER: OI.INERS ADDPGSS: APPLICANT: APPLICANTS ADDRESS: FoR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPTiONE NIIMBER ^a6- fZ ?3 PROPOSED USE: A$3 z7tz7€- INSP CTION FEE IS QUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY TI{E OIINER OF THE PROPERTY TO BE INSPECTED. SIGNA OF PROPERTY FOR OFFICE USE ONLY DATE OF I}ISPECTION:RECEIPT NIIMBER /Dao6 DATE OF REPORT:DATE PAID: 2-*€ = DATE OF CERTIFICATE OF COMPLIANCE: COM}IENTS: /.e t N[ + tt+- ?7 ^ru -*s Ol' td/)o- ( ( o o 6) P* 7or.{ P.etciL :..fra- ft"7*4 l''Ll 7t l?3b I N%0 rrtbt rv??lzrrrTV +sf 44 ea,LL (Ql"oa/ {1t5t r llen Lo*!e.* L, St"lc li<+e* S ? 5ec Lo.<l rc'<,-- /Tt_o- e_ Z/traf .1 lt*l't9 +lc- l,l-to g/L?O C /nl "+.4? Qtr" RoLrL 1u."{ l)r.;2wc* *l tt -m F",/ S?r'e n! c>*!l RA/ ryr. 11_ )1. ( /ezners: /lt? Ttarvea< Pr+,qru*l ? AsZ Joa # i ESro?7 OW.v€R. i,$*<f* fr. fizzaw.yc ,4peazaryie Zazrztza.z.a .ha _U.ylza /4fu kZ.zZzaa kat- Z?t .2< *r..6;r h*z.z /s Ppe,.t ,ru tfzt< $ry** fifuae .&" fa.s2, bzz- 5na 4* 6r,w*v fuaa,p .4<' ,F*tyar. /n Extr bo*s /€r?€ h tsa haPPD WzVT kf; (a?up nrah ,fue,&sra€, 7.rar Sarta Fa 62re* Urryfi pryr-^>2.? - -]r7e/Ptl )a,7AAeaE 574,u -a/y eB /*4#€-D- -b Trrs {,ar.ra "furu&a* ,ru ,6paar.y z,e@ ZrZm ,Zt sr.yas fu->s.t --_-fu fra* fua* ?e, ,e {rzrary /#r? lqs,fu.v * / h.a y'to,u Oryr? 4**o*o,** ) '.kDr*a,s *o.r*. ,4.rwfua /o477-,*--g €a- rlr* o.fie*, -,Flfa *z*e cast?€- -rys Wr.s . Be -ltrr .Fras rfftzg.r.ta9 arzc ,,fura.i * /a274g-7 /drV = .-\ l*" *4. a, (r'l /' e<c uFFZ* ? /p 7P€s ffecy sl4u.36r7rra * ( C* * ?-r,4 bv-* fu"vr** furevvo* &#dry',f,-€ khee ,**s ,/22 ,4s *Ee.;:rfoffi-et> Dryr.4 4wru /. /n Vra-so *p.;Eey li SzF: l*t h/-t4rUrn*uo r&g:.r?-rts.;#"4ps; %.yffi f* hry** ,{r/ dws";:.'iyrEar* /,W#?r#;: ea,s- Srnuefuffis $*V,*o+r fir .rW 6ry#tm- €- r$ea f;4'g'go7-gg-- -Bn *-,e,::,*r -E$ .$*{r *1$eo.*,-.,},rr-.*Osrr**e/af Atz.op/Ea 7r r{e.-v"*r Zk.-w"€sflb*t tr. ku*p*g, Wp2',/frb-"r,€*r W* frn E .t'/€4-, B f f"ffg*g-e" ef ,S,ry;p-*a,y ;!@s;*r**;S Lvr.Tt'/?t-, @a7pge-r*ryeg zilef (*s ,fu fro4 aF fee iTnc rpe*yf.s-#,'p6 5*4 .,fuvvore- aR fu*o Sr;,,!;Eorr,r&,=;, Wrl rg .Wqp CPqrFrca {a-rrTrtgV*V Stryrugb - DA /6ry.er*r. {fgP*'.' I)tgr:t .$-x- ,53ry.*,e.r'*;ry*r- /opo?.va 4" ,Md//*/affi #F *flfu Af ,:fuF5;.,;,# E"ty $*?.-b ,/ ,Pre* {t'f.e€*,rc.rb of 8*r #y , ,*, /T 4frd ,*&f €;Gsr%,*- /*, dds- df.tge,er* ft*O.o* cf ftir, 3or***"*. /;--,\..?r;ry1-rG $irF*nra.,,{ ky;=n"# -=r,1*d ?rWWA'fr;.,yr;F -* *S L*4 Z.ft* {rrr ,fua; &F,.v;ay*;i'/'Fa.p ,6r*#* frr;;ilp",*ry #E furr>sw7qt - 6- /f /* 424,4' @i:it?,d.5/F*j;->#q f.;o2, ;,,.-*#tq?fu ,'fu"*,* .,t'!7^7,9tsa,*gr4l f5ryv/# 4u-p ,.fr*r< tk .ffroFr** ;,*1,..*-*.i 3 +rE* 4'&,rloro*{da fu fo fr 7;-8re iTcr*'st;i.' €cirs.D$,svL fu*+tqd.-,refr ?movtz€ /* €txffiTerc bv/-€ ?aopqrzz 2 /te 4ry ,$*asv.n"* fi7ypra.* 5b h,* {a* pqarrar.Te fip4rz*;rz€ fu,Fse/tr*vr*" /V€<orty€> ff,v f# Ec&iUW€"&e **.*a64ri 7- ,/E,vt-- / //.ya f B*q?//T€ fr 3-rqD//y* 7*'ffit'?z/r jffi:** cZs*' "'fr$ 'yy'*src*: d:3/* h* t*y'm7.t' .> iflu,'t )*.i'.;1.'+ >€-*e=* - /4oo ,{.* 4 Za*ar.ff'* ,,;*7v5*;75 j!L- 4Afv."fi" i;irre::rx ,F*-qv FtrE ;"*gr {,se . {l*,frtq ,7€** *":-:,1;.*. Veo WF "4 ,48F,@rYfi;*.-y # #*rCF y'ftft"t ,barFe>rrf,i,*a5 l$y,* ,:y:;&{c:,fr'ry$C,# a{.=''b. d fr' dr!- finr-r #,f*."r ;,g*Fsyi, ,.;;; t*TFi).,s #$5".-. 7 Tarap flup,'vr*ry frr ??6-VA?, .}4ECHANICAL INSPECTION REPORT .JOB ADDRESS DATE - PHONEOHNER ADDRESS TENANT OR OCCUPANT TYPE OF INSPECTION:HOLIS I NG OCCUPANCY COMPLAINT FIRE DAMAGE o INSPECTOR \1: