HomeMy WebLinkAboutMiscellaneous Application 1978-03-22CTCUPANCY INSPLT]TION APPLICATION
EXISTIN(I BUILDINGS
Date: 3
CITY OF SPRINGFIELDr
Job Address: ji Z S;, / 77q /0*.
BUILDING DEPARTMENT
2
No. of Units:
Applicant:,Da re,-. €*.oA
Address:oK2
Address:,a,--e
fe,a-,C(--+,Owner:? 7V77
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A $20 inspection fee is required aE the time of application.
IIIIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE INSPECTED.
SIGNATURE OF P TY
FOR OFFICE USE ONLY
Date of Inspection:Date of CofC:
Receipt No.:Date of ReporE:
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For Access .to Property - Telephone
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Remarks, 0^il^. / ,ouor-'-
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CITY OF SPRINGFIELD, OREGON
Public Works
JoB ADDRESS 52
BUILDING DEPART}GM
PI^I- 11
Inspectorts l,lemo
tlu f1^*,-DArE 3-3 a-7 y
TO
NOfE
Phone 7 47 -422L
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CITY OF SPRINGFIELD, OPGGON
Public Works BUILDING DEPARTMENT
Inspectorrs Memo
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NOTE
JPhone 747-4227 TNS PECTOR