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HomeMy WebLinkAboutOccupancy Application 1986-07-18CITY OF SPRINGFIELD Department of Planning and Devel-t-rpment Building Safety Division 225 North 5th Street Spri ngfi el d, 0rego n 97 477 726-3753 (Bus.) 726-3769 (Insp.) DATE:Fqac5Oi>- JOB ADDRESS:o O}trNER: <f o OI.INERS ADDPGSS:1o=4 /14 nu4 OCCUPANCY INSPEChON APPLICATI SPRINGFIELD APPLICANT: APPLICANTS ADDRESS: FOR ACCESS TO PROPERTY--PLEASE INCLUDE TE LEPHONE ER 7 PROPOSED USE:L A $ 35.00 INSPECTIoN FEE IS REQUIRED AT TFE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY T}IE OI.]NER OF THE PROPERTY TO 6>L SIGNATURE OF PROPERTY Otr{NER FOR OFFICE USE ONLY DATE OF I}ISPECTION: DATE OF REPORT: DATE OF CERTIFICATE OF CO}{PLIANCE:t, COMMENTS: RECEIPT NUMBER:/"/" /)bt DATE PAID:q4 v-8 b I BE INSPECTED. CITY OF SPRINGFIELD /epartment of Planning and Devetopment Buildin,g Safety Division ?25 North 5th StreetSpringfield, 0regon 97477 726-3753 (Bus.) 726-3769 (lnsp.) /i o'/t DATE:FQac5)ix l'r JOB ADDRESS:o OWNER: <? OI{NERS ADDPGSS:4o=4 /14 ncn- 0CCUPANCY IIJSPECIrON APPLICATI SPRTNGFIELD APPLICANT: APPLICANTS ADDRESS: FOR ACCESS TO PROPERTY-.PLEASE INCLUDE .TELEP}IONE 7 F PROPOSED USE:V-td-O A $ 35.00 INSPECTIoN FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY TIIE OIINER OF THE PROPERTY TO BE INSPECTED. 6>L SIGNATURE OF PROPERTY OI{NER-. FOR OFFICE USE ONLY DATE OF IItrSPECTION: DATE OF REPORT: DATE OF CERTIFICATE OF CO},IPLIANCE: COMMENTS: RECEIPT NI]MBER:br,0 b I DATE PAID:q4 v-8 3 /-/.2*, 1's/' //M /-ro,*tle, ,4 f . o*l /"1" fu-*? ryvpd-* b41-/-*-K Gr, tan-LtLu* 7)C ---f-u,,ilJt.r lvld ftr-n' n o'L( ^ti"')a oi/ bu('a'/t d4e'AS frn-nr"A la*.L'eJ c ouoln'tr *t'"'r' tu lf(7 P'*'o tTlo d*.--', o v </ Se4rtee ( !.a-'c L /ro 1' 5<u*-tAb*i (J,-n STRUCTURAL INSPECTION REPORT S/ DATE PHONE JOB ADDRESS OHNER TENANT OR OCCUPANT HOUSI NG OCCUPANCY COMPLAI NT FIRE DAMAGETYPE OF INSPECTION:q. o a.- o ,0 !r o O /0 I I i'ISPECTOR 1, th6..,1 /7 _t 7 T, DATE: JOB ADDRESS o OWNER:a <f € OI,INERS ADDPJSS 4oz /ne:uru CiTY OF SPRINGFIEI-D Department of Planning and Deverwpm€flt Bui'ldi ng S ??5 Nort Springfield 726- 3753 ( gus. 5th Street 0rego n 97 477 726-3769 (insp. ) h t ) afety Divis'ion OCCUPANCY INSPEC'I.uN APPLICATI SPRINGFIELD APPLICANTS ADDRESS: FOR ACCESS TO PROPE RTY--PLEASE INCLUDE TELEPIiONE NI]MBER:7 PROPOSED USE:6teL A $ 35.00 INSPECTIoN FEE IS REQUIRED AT TIIE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OITNER OF THE PROPERTY TO BE INSPECTED. 6V. SIGNATURE OF PROPERTY OI{NER FOR OFFICE USE ONLY DATE OF I}trSPECT].ON: DATE OF REPORT: DATE OF CERTIFICATE OF CO}{PLIANCE: COMMENTS: RECEIPT NUMBER:/,/"0bl DATE PAID:q4 v-8 F9ac50i>- APPLICANT: NESCR I OCCUFANCY II'ISF'ECTIOI'{ ..Ot,l'lER- CHURCH Oi BRETHERI{ 746'14?9 I.07? I.IAII.t STFEET irnruerrELrrr oREGol't 97477 BUILITII.IG IrIVI$IOl't JOtr* r--;90? s1' -LESAL. LCIT BLOCIi -EI.IERGY-HEATl- 2- H?O- RANGE. F II'!AL -\TALUE- -Il{Fo- O TTEF'AIR COI'tl'tERCIflL 5300 841?13 / 8-4L"L2 -STATS.BLI|G zol.lE STORIES FIRE ZT}I'IE t{EIrRt't FLoCItrF LAIl'l UI.{ITS SA FEET 460 -AITtTRESS- N ?1.ST -trEslGl.l TEAII- F.RI}I- ST/E- EL/E- F't4/E- -C0H'f Rr{CT0RS- GEI.IL- F LI'ttt- ELECT. r.iEcH- sEQ-REtrurRErr F.ERtrrrs------FEE---$uRCHARGE-nATE-RECETFT---FERI'trr'*------UALUE--- 001-025-0CCUF.ANCY ll.lsP A 30.00 0.o0 841212 63984 sE$-l.tlNll,lul't rl.lsFECTIOl'lS + RECIUIREI4EI'ITS--*- --------E)iF [|ATE---ACT nATE- oo1-061-OCCUF ANCY $ E A- - r N sF E C T I 0l.l s - - - - - - - c0 l't l',lE l',l T s - * - - -- - - trAT E - - - -RE SULT - - I l'{SF'- - .. 0 OO 1-061-OCCUF IINCY oo?-061-OICUF ANCY oo3..06 I -OCCUPANCY oo4-061-CICCUF ANCY LETTEE IiRITTEI{ 841?t? P0li 05 841?1? r.loT0li 20 84131? I0 10 841?1? I0 10 \