HomeMy WebLinkAboutOccupancy Application 1984-11-28
-~ortb~and Real~JlC.
/ 1310 CQBURG ROAD. EUGENE, OREGON 97401 . REALTOR
.
OCCUPANCY INSPECTION
APPLICATION
GREG L. HERBERT
BROKER
(503) 345-23&1
'-
COMMERCIAL INDUSTRIAL: SALES & LEASING
SITE SELECTION-FEASIBILITY STUDIES
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- JOB ADDRESS: //7L/3 /Jv:/.l/ \..'j-r
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OWNER: /JfA Y/d,c //}!A.P/ocJ ~A . ",j:
mVNERS ADDRESS: AL A"3rA ". .~
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APPLICANT: y~~
'"APPLICANTS ADDRESS: 0/7',<)/" //0/.1/ 5',"f""'
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 7#-OJ.33
PROPOSED USE :{./- 04/'~ 9/ LLI'l-
A $30.00 INSPECTION FEE IS REQUIRED AT THE TIME
OF APPLICATION .
THIS APPLICATION FORM MUST BE SIGNED BY THE OlmER OF THE PROPERTY TO
BE INSPECTED.
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; SIGNAT~~ OF PROPERTY nnl'jER -AG-ENT
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FOR OFFICE USE ONLY
------------------------------~---------------------------------~?\--------
DATE" OF INSPECTION: I:;, /3/1f-',(, RECEIPT NUMBER: \ 0 QS \ l) "
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DATE OF REPORT:
DATE PAID:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
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IJIOCOBURG ROAD. EUGENE. OREGON 97..01. lItALTO'
GREG l. HERBERT
BROKER
(503) 345-2361
APPLICATION
SPRINGFIELD _
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COMMERCIAL INDUSTRIAL: SALES & LEASING
SITE SELECTION-FEASIBILITY STUDIES
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.. JOB ADDRESS: /-/71/3' /J~/d
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O,VNERS ADDP~SS: /"-7/rA~~~
APPLICANT: j,"-::<'Y:;'1IF' !~'/) co ';,.;r' 1/..:;.
APPLICANTS ADDRESS: //7,/~ /11/-:///, ,Q-,:-
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: ;r~/-/?/~-i
PROPOSED USE: {'./- c~rc::::' -;;/2i:'...{
A $30.00 INSPECTION FEE IS REQUIRED AT T}~ TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OlmER OF THE PROPERTY TO
BE INSPECTED.
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SIGNAT~Ri OF PROPERTY r'~'--::, AGENT
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FOR OFFICE USE ONLY
DATE OF H1SPECTION: /Z- 3-~'I
DATE OF REPORT:
RECEIPT NUMBER:
DATE PAID:
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DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: ,c;'I2€: - ~/~/-.:, 1)* k.. )( I...'LJC .
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CITY OF SPRINGFIELD" '
Department of Public \~s
Building Safety Division
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
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DATE: // ./6'-6/
JOB ADDRESS: ~7L/.3 /JI/;/,d \..<3;-
OWNER: F//(AY/"J..c /'PI/l.P/ot:J
m.lNERS ADDRESS: ALA"3rA '.
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APPLICANT: ;j\~iY1f!r I///)r-o-'~ ^
.APPLICANTS ADDRESS: ~;r?(5 p1t1/~/
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OCCUPANCY INSPECTION
APPLICATION
SPRINGFIELD
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FOR ACCESS TO PROPERTY--PLEASE'INCLUDE TELEPHONE NUMBER: ~~-LJ/~~
PROPOSED USE: {j-04fc: "PIll/!-
A $30.00 INSPECTION FEE IS REQUIRED_AT THE TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OllNER OF THE PROPERTY TO
BE INSPECTED.
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SIGNAT~~ OF PROPERTy OlltlER /AGENT
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FOR OFFICE USE ONLY
::~:-::-::::::~:::~-------------------~:::::~-~~:~~---~-~~c{\l5~-------
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DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
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I 1310 COBURG ROAD. EUGENE, OREGON 97401 . REA.LTOR n
I ..1 GREG L. HERBERT I-I
BROKER
I (503) 345-2361 n
" COMMERCIAL INDUSTRIAL: SALES & LEASING 1-/
L.I__ SITE SELECTION-FEASIBILITY STUDIES
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DATE PAID:
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