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HomeMy WebLinkAboutSpecial Inspection Occupancy 1989-4-3 CITY OF SPRINGfIELD Department of Planning and Dev.ment Building Safety Divis 225 North 5th Street Springfield, Oregon 97477 726-3753 (Bus.) 726-3769 (Insp.) OCCUPANCY INSPE~N APPLICATION SPRINGFIELD DATE: 1f-3-~r vo;&'# 8,/0 <62. JOB ADDRESS: 5415-5531 Main Street. Sorinafield OWNER: Income Prooertv Manaaement Co_ mmERS ADDRESS: 1111 Pearl Street, Eugene, Oregon 97401 A~ '~'"-- ~ APPLICANT: APPLICANTS ADDRESS: FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 345-2361 PROPOSED USE: Su'Bl>Jc...y SAw~~; C'.-- ~1::<;.-I-..)~rrV"1' A $ 35.00 INSPECTION FEE IS REQUIRED AT T}lli TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OHNER OF THE PROPERTY TO BE INSPECTED, 0mavu~ ~~~ER ~~7 OFFICE USE ONLY ~," FOR --------------------------------------------------------------------------- DATE OF INSPECTION: RECEIPT NUMBER: /pY01? DATE PAID: 7"-?~5_ DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: 7.,'/ r; 7 g E-~ PFU2.Mll #- 8-9~LtJ'2-