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Special Inspection Occupancy 1997-6-2
,. he "'S:.GFIEL~'" ;. ,. . DEVELOPMENT SE/lV/CES DEPIIRTMENT 225 FIFTI-I STREET SPFifNGFiELD. on 97477 (5~ 1) 726-3753 FIIX (541) 726.3689 OCCUPANCY INSPECTION APPLICATION CITY OF SPRINGFIELD BUILDING DIVISION c===============================================~=====cccccc==================== DATE: ....ILA~t" 2 Jc)'il JOB NUMBER: q 7Dl gS ADDRESS OF INSPECTION: 5770 li10wl .~ _ ~JJ. c;rt.. OllNER: ~{"'\ \>0 (e", PHONE NUMBER: 5'f( -7l{(r{,Cjbf' OIINER'S ADDRESS: Z\C,l o/~t>l.f)tr _CJl,t6"(f ~1)";"'rh;JrJ/dIt.. 9.1(/77 APPLICANT: t!}(e.qt/V5 OW,o f)ot.U?--t!-- <JroTZ.e... / CAS/I CelAlA/e'eT/t1-<.J.' :z;,,/C, APPLICANT'S ADDR~SS: ,Z\ql tJ!UlMlJlL C:;#et'/-f- 5.2flVl.,al~(j rA( 9..2n7 FOR ACCESS TO PROPERTY - TELEPHONE ~UM~ER ('1/9 - f30n '.. - cc=_=ccacc============:========================================================= PROPOSED USE: K-e. \-<\~\ 5k~ . (J {eertlA.; S Ow,v L:b\(""-I" ~p /C.-1s/f (})I1/1rdtvo, a '. SDetiE.. If4M'd Iv j3,~ r i::>l,^~\"\~\ ' (" "\ . A' $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION ~;~I' "FLI'~ON FON "'" "GNED B' "E O,"'N OF '" FNOF"" '0" ."':" YS~~EL~, .~ ~ t\ .' s,~~t.Ulu: 0\ PROPERTY cQlI ' . __l__________~__________________________________________________________________ FOR OFFICE USE ONLY ::~:-::::~----~7-~-1~-~----------::::::~-::::::~--~:2~C7-~~------ . . . . ,.. .,'- DATE OF INSPECTION: DATE OF, CERTiFICATE OF COMPLIANCE: COMMENTS: .DATE OF REPORT: ..','" , .' ',' .: '.;.~. ,: , , PRO~OSED FLOOR PLAN REQUIRED AT TIME OF APPLICATION 1.__J_m'-~L-'HI"" IH'''' 1 ~.. _,_'m_ p ! l ;t ",[""J', 'c:' ',::'"",." "t=J.__ _~ _ ~T~"~I~:T,..J''''-I'1 /_. ._,_ [...,"1 , _ _ ,~ nli'lRIrii" .., k3t~F-+~~I~"-~I~'-+"'~'1 : Jo' "'r.....';.j' . . ~ , , IF-EF::r~:I.~'~'I~~I~:~I:-~~ I I "'"r''''f'' , ......c'..c-o-,'" H I . C'lll' U"IIIC"'C>.I 1--"+'~-:-J~J,j-+ -+,~ll 'TT.'-:I"'-r' -r!!':rT-'~j~+~~ f ,. 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