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OCCT'PANCY INSPECTION APPLICATION
CITY OP SPRTNGFIELD BUIIDING DIVTSION
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DATE: November 2, 1993 JOB NUMBER:
OrADDRESS 0F fNSPECTfoN: 220 N. 5th St Springfield,
OVNER: McKenzie Enterprises Inc.
oIINER,SADDRESS: 220 N. 5rh Sr. Speingfi_e1d, Or
PHONE NUMBER: 746-5984
PU Bo 6UO
APPLICANTs Don r. Carter
APPLICANT,S ADDRESS: 220 N. 5th St, PO Box 806 Springfield, Or
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:7 46-s984
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PROPOSBD USE: Effieieney Apartments 2 each
35.00 FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS
rNSP
BE SIGNED BY THE OWNER OF THE PROPERTY TO BEFORM
FOR OPFICE USE ONLY
DATE PAID:
DATE OF TNSPECTION:
DATE OF CERTIFICATE OF COMPLTANCE:
COMMENTS:
-RECEIPT NUMBER:
DATE OF REPORT:
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