HomeMy WebLinkAboutPermit Occupancy 1996-03-04D EVELOPM ENT S E RVICES DE PARTM ENT
CITI OF SPRINGFIEU)
SPFrINGFI
OCCTIPAIICY INSPECTION APPLICATTON
ELc,
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541 ) 726;3753
FAX (s41) 726-368e
BUTIJING DIYISION
CITY OF SPRINGFIELD, O.FEGO'V
DATE:
ADDRESS OF INSPECTION: // 7 4/ 2 / 'J
JgB NUMBE* 32tZ*a-
OIJNER:c^*A /* r,r ntA PHONE NUMBER: 7./ f -{/410
OIJNER'S ADDRESS:7c tt 9'7 tC
APPLICANT:
APPLICA}IT'S ADDRESS:
FOR ACCESS TO PROPER
* l-G C- qe /\
7a ol o
TY - TELEPHONE NUMBER: 7tf Cr r/ o 7r-,53 7
PROPOSED USE: A ta1 tz sew € yt,/Ce o -u.
THIS
IN
A 5.OO INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
UST BE SIGNED BY THE OI.INER OF THE PROPERTY TO BE
FOR OFFICE USE ONLY
DATE PAID, 3 -"'%,DATE OF INSPECTION:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
RECEIPT NUMBER:
DATE OF REPORT:
r' r1i^.' =r?'i!::'
t