HomeMy WebLinkAboutPermit Occupancy 1990-10-18
CITY OF SPRINGFIELD
Department of Planning and Dev~ment
Building Safety Divi~~
225 North 5th Street
Springfield, Oregon 97477 "
726-3753 (Bus.) 726-3769 (Insp.)
OCCUPANCY INSPEC4IIl~
APPLICATION
SPRINGFIELD
C{ [)W~
DATE:
October 16~ 1990
JOB ADDRESS:
3855 Marcola Road, Springfield, OR 97477
OWNER:
Leavitt Investment Company
,.
OHNERS ADDRESS:
3855 Marcola Road, Springfield, OR 97477
APPLICANTS ADDRESS:
3855 Marcola Raod. Sprinqfield, OR 97477
A
.)ft
APPLICANT:
Leavitt's Freiqht Service. Inc.
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER:
747-4236
PROPOSED USE:
Additional office space
A $ 35.00 INSPECTION FEE IS REQUIRED AT THE TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OvlliER OF THE PROPERTY TO
BE INSPECTED.
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SIGNATURE OF PROPERTY mmER
~
FOR OFFICE USE ONLY
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DATE OF INSPECTION:
I().~.q()
RECEIPT NUMBER: I ~t:b~,~'
( D - t R -q 0
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
DATE PAID:
COMMENTS: