HomeMy WebLinkAboutBuilding Application 1988-11-28Building
225 NorSpringfiel
726- 3753 ( Bus
CITY OF SPRINGFiELD
Department of Planning and Deve'topment
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97477
69 (lnsp.)
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Safety Dith 5th std, 0regon.) 726-37
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JOB ADDRESS:
OI{NER.:
OI^INERS ADDRESS
APPLICANTS ADDRESS:
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FOR ACCESS TO PROPERTY--PLEASE ITICLUDE TELEPHONE NIIMBER:
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HOUSING INSPECTIC
APPLICATION
SPRINGFIELD
A $35.00 TNSPECTToN FEE rS REQUTRED AT TrrE Trr'rE OF
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THIS APPLICATION FORM MUST BE SIGNED BY TI{E Oh'NER OF THE PROPERTY TO BE
INSPECTED.
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\SIGNATURE OF PROPER.TY Ohrt{ER
FOR OFFICE USE ONLY
DATE OF INSPECTION:
DATE OF REPORT:
DAIE OF CERTIFICATE OF CdTPTTEUCU:
COI,I}{ENTS:
RECEIPT NU}1BER:lz(z
DATE PAID:/lr{-rr
APPLICAIJT:
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CITY OF SPRINGFIELD
Department of Planning and DevcropmentBuilding Safety Divisi
?25 North 5th Street'Springfie'l d, 0regon 97477726-37s3 (Bus.) 726-3769 (Insp.)
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SPRINGFIELDIJOUSING INSPECTIC
APPLICATION
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JOB ADDRESS 4
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OI^II.]ERS ADDRESS:
APPLICAI{T:
APPLICANTS ADDRESS
FOR. ACCESS TO PROPERTY--PLEASE I}ICLUDE TELEPHONE NUMBER:
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A s35.00 TNSPECTTON FEE IS REQUIRED AT TrrE Til.IE OF
APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY Ti{E OW}IER OF THE PROPERTY TO BE
INSPECTED.
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FOR OFFICE USE ONLY
DATE OF INSPECTION
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COIO{ENTS:
RECEIPT NU}TBER tz(27
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CITfT OF SPR,I}TGFIEI-D
OFFICE OF COMMUNITY AND ECONOMIC DEVELOPMENT
225 North 5th Street Date
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Building Division
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**** CALL FOR. INSPECTION 726-3769 ---- INFORMA I0N: 726_3753 ****