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HomeMy WebLinkAboutMiscellaneous Application 1986-06-26CITY OF SPRINGFIELD Department of Planning and Devetopment Bui'ldi ng Sa 225 NorthSpringfield, 726-37s3 (Bus. ) fety D 5th s 0rego 7 26-3 ivision treetn 97477 769 (Insp.) HOUSING INSPECTION APPLICATION SPRINGFIELD 8€oVle DATE: JOB ADDRESS:+by fr OWNEB.:f OWNERS ADDRESS: APPL]CAI{T: 7 APPLICANTS ADDRESS: FOR ACCESS TO PROPERTY--PLEASE I}ICLUDE TELEPHONE NI]MBER:3+"-4/ r A $?(.OO I}IE'E€T-O}I EBF IS REQUIRED AT TIIE TII.IE OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE INSPECTED. SIGNATURE OF PROPERTY OIINER FOR OFFICE USE ONLY DATE OF INSPECTION:RECEIPT NI]MBER: DATE PAID:DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: COTO{ENTS: CITY OF SPRINGFIELD Department of Planning and Development Building Safety Division 225 North 5th StreetSpringfield, 0regon 97477 726-3753 (Bus.) 7?6-3769 (tnsp.) cotttfiesq -ft0tIfi:Iti6t[NS i t APPLICATION PECTION SPRINGFIELD *8€o/le DATE: JOB ADDRESS:,lby OWNER:{ OI,INERS ADDRESS: APPLICAI{T: 7 APPLICANTS ADDRESS: FOR ACCESS TO PROPERTY-.PLEASE I}ICLUDE TELEPHONE NI]MBER: rs REoJTRED AT TIIE TrI'tE OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE INSPECTED. SIGNATURE OF PROPERTY OWNER FOR OFFICE USE ONLY DATE OF INSPECTION: DATE OF REPORT: RECEIPT NIJMBER: - al a(DATE PAID: DATE OF CERTIFICATE OF COMPLIANCE: CO},I},IENTS 6. 34?-5l'.{ CITY OF SPRINGFIELU Department of Planning and Development Bui I di ng Safety Di vi s i on 225 North 5th StreetSpringfield, 0regon 97477 726-37s3 (gus.) 726-3769 (Insp.) DATE: 1b8 8€o//e 3Lv-5l',{ 4u'lftrq -fiotf&Fri6-trNS SPRINGFIELDPECTION APPLICATION JOB ADDRESS: OWNER: OI,ilNERS ADDRESS: APPLICAI{T: 7 APPLICANTS ADDRESS: FOR ACCESS TO PROPERTY..PLEASE I}ICLUDE TELEPHONE NI]MBER CZ:,:.:. - tu ir'-:r. IS REQUIRED AT THE TIME OF APPLICATION TI{IS APPLICATION FORM MUST BE SIGNED BY THE OVTNER OF TITE PROPERTY TO BEINSPECTED. -- DATE OF INSPECTION:RECEIPT NT]MBER: DATE OF REPORT DATE PAID DATE OF CERTIFICATE OF COMPLIANCE: cotolENTS , 6. // 2 f AtA) J o tc, t/na,,t. / au a*--*v g no ,, e 12- € CLL f SIGNATURE OF PROPERTY OI^INER FOR OFFICE USE ONLY CITY OF SPRINGFIEL. Department of Planning and Development Building Safety Division 225 North 5th Street Spri ngfi el d , 0regon 97 477 726-3753 (sus. ) 726-3769 (Insp. ) ao&qe'U +IEUiiHi6-+INSPECT SPRINGFIELE) ION APPLICATION *8€o{/e JOB ADDRESS: OWNER: OI.ilNERS ADDRESS: APPLICAI{T: +bt n) 7 APPLICANTS ADDRESS: FOR ACCESS TO PROPERTY--PLEASE I}ICLUDE TELEPHONE NIIMBER:3+?-d IS REQUIRED AT THE TI}IE OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY TT{E OI,TNER OF TIIE PROPERTY TO BE INSPECTED. SIGNATURE OF PROPERTY OI^INER FOR OFFICE USE ONLY DATE OF INSPECTION: DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: RECEIPT NI]MBER: DATE PAID: Ll/5 COI,IMENTS: TnA, t/ -tr lu,2 -?cq .H Lr)i4{ To Ua t A,i^q or.lr, vt Q- DATE: f