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HomeMy WebLinkAboutPermit Application 1997-06-17SPIi.NGFIELO ,'.:'Ittili:-l!t"!! : ;l'l I ING i'' ll:1.D, Ol 1'J i't i i (!;4t)726 37s3 FAX (541) 726-368s OCCI'PANCI INSPEGTI,ON APPLICATION CITY OP SPRINGFIEIJ)t 70135 3l o',/ffD BUrr.DrNG Dr\EsroN C,'TY OF OFEGOA' DATE: ADDRESS OF INSPECTION: JOB NUMBER: OTINER: U),L l/+rvl -f rCLI F-F PHoNE NuMss{:Jifl ) ?JS'ds"'-- OI.INER' S ADDRESSI APPLICAI.IT:{,e I TAxTo) APPLICAT'IT' S ADDRESS : FOR ACCESS TO PROPERTY - TELEPHONB NUMBER: PROPOSED USE: A $35.00 rNspEcrroN FEE rs REQUTRED AT THE TrME 0F APPLICATTON THIS APPLICATION TORM MUST BE SIGNED BY THE OIINER OF THE PROPERTY TO BE INSPECTED FOR OFFICE USE ONLT DATE PAID:RECEIPT NUMBER: DATE OF REPORT:DATE OF INSPECTION: DATE OF CERTIFICATE OF COMPLIANCE: '" COMMENTS: PROPOSED FLOOR PLAN REQUIRED AT TiME OF APPLIGATION t)l \./l_l-( )lrlyll. I'l I :;i./il'/r".1:.'; I )1. l'itl i I it rrr! I L tq?7 / f/)' ./r*t d r,et , ,z - ?oo/ n C) I $urtLflorerD ilsr lkil!- \ N lio "r+P sl r\ \ \ \ \ \\\\\\\\\\,\ -