HomeMy WebLinkAboutSpecial Inspection Occupancy 1996-1-2
DEVELOPMENT SERVICES DEPARTMENT
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726.3753
FAX (541) 726,3689
OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: /- J -9(~ JOB NUMBER: 9(@L))."
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ADDRESS OF INSPECTION: ,~?.C; '-?'77/'7/fl l )'h'M7
'f-.OIlNER:
STAFF JENNINGS INC
PHONE NUMBER: 503-244-7505
OIlNER'S ADDRESS:
PO BOX 82209 PORTLAND OR 97282
APPLICANT: ~/ /?l~ 4",h '~'ld,/ ~/J~;h~T,//J' a
APPLICANT'S ADDRESS:
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PROPOSED USE: ~ ~/ --G./J.a:.b<.. ~
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
ON FORM MUST BE SIGNED BY THE OIlNER OF THE PROPERTY TO BE
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FOR OFFICE USE ONLY
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DATE PAID: /-;}--9~
DATE OF INSPECTION:
DATE OF CERT!FICATE OF COMPLIANCE:
COMMENTS:
RECEIPT NUMBER: V /993 7
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.DATE OF REPORT:
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