HomeMy WebLinkAboutPermit Application 1990-03-08CITY OF SPRINGFIELD
Department of Planning and Deve tment
Building SafetY Divisi
225 North sth StreetSpringfield, 0regon 97477
726-37s3 (Bus.) 726-3769 (lnsp.)
OCCUPANCY INSPEC IN
APPLICATION
SPRINGFIELD
DATE. 3lLleo 10E477
JOB ADDRESS: 302 Shelley Str eet, Sprinsfield. Oreson
OWNER: Frank A1ley Trust
OI,INERS ADDRESS c/o c.I.P. 1600 Val1ev R iver Drive- Eupene . Oregon q7 t!O1
tores, Inc.
A',LICANTS ADDRESS: 16300 S.E. Evelyn Srreer, Clackamas, Oregon g7OL5
FOR ACCESS TO PROPERTY-.PLEASE INCLUDE TELEPHONE NI,]MBER:
Don Mogenson, Co1dwel1 Banker, Real Estate, 484_ggLL
PROPOSED USE: Warehouse stroage. Resional Manaeer. Check Stand TrF.in.i ng
A $ 35.00 INSPECTIoN FEE IS REQUIRED AT TFIE TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY TIIE Otr.INER OF THE PROPERTY TOBE INSPECTED.' P;l*-t 7 e4\,.u^^1 , cAt4
SIGNA TURE OF PROPERTY OI{NER
FOR OFFICE USE ONLY
DATE OF I}ISPECTION:RECBIPT NI.IMBER:
DATE OF REPORT:DATE PA ID:3--?o
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
APPLICANT: Safeway S