HomeMy WebLinkAboutOccupancy Application 1990-05-17CiTY OF SPRINGFIELD
,artment of Plann'ing and Deve, rment
Building Safety Divisi._
225 North 5th StreetSpringfield, 0regon 97471?6-3753 (Bus. ) tZ6-3769 (Insp. )
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OCCUPANCY INSPECT
APPLICATION
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SPRINGFIELD
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ACCESS TO PRO PERTY--P EIN TELEPITqNE NUMBER:,{ 6q /Y
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A $ 35.00 INSPECTIoN FEE IS REQUIRED AT T}IE TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OI.INER OF THE PROPERTY
BE INSPECTED.o
S OF PRO TY
FOR OFFICE USE ONLY
RECEIPT NTMBER:
rlDATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
DATE PAID: