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HomeMy WebLinkAboutSpecial Inspection Occupancy 1993-4-2 ~ · ~D{,;6~~ OCCUPANCY INSPECTION APPLICATION , CITY OF SPRINGFIELD BUILDING DIVISION ===================~============================-----=-------================Lf= DATE: ~ - ~ 0 - q 3. . JOB NUMBER: 0{?;i) :::s-; ADDRESS OF INSPECTION: lJ. LO. ('e.p+roJ 58t-~ s+ '\-- me- k-e.nz..jf' I~wy lO1c1 Alber+6<<6 ~+Ore...)- Sprln<:fielol. OIlNER: .4.lbp.>:tsons 5fJf\D ~~n_, {\J>HONE NUMBER: 208-38'i-MiCl5 OIlNER'S ADDRESS: 250 Park Center Blvd., Boise, Idaho 83726 Attention: Dewev Bills APPLICANT: 'Our I?.....+-.. WCu-j"'''''' ~ APPLICANT'S ADDRESS, 158/ s.,u+h S,^_ 18 ~L,.,"hti\;^ Or g74'9T FOR ACCESS TO PROPERTY -TELEPHONE NUMBER: \1,+-t> ltu.l.e"-- LJ5Cj C)Q15 /45Ct 153D ii, L \J-WJJ..-:M<-5c;,~ ================================================================================ PROPOSED USE: ~7 7 n.I i n.-- A $35,00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION i~~PLICATION FORM MUS~ BE SIGNED BY THE OIlNER OF THE PROPERTY TO BE lY~~~ '., SIGNATURE O{ PROPERTY OIiNER Harry N. Ruth Agent for the Owner AMACHER & CO., 44 West Broadway, St. 200, Eugene, Or 97401 ----------------------------------------------- FOR OFFICE USE ONLY -------------------------------------- -- RECEI~~-::::::~---f7~-~ I DATE PAID: tf - L -C( -:.., DATE OF INSPECTION: DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: