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Home My WebLink AboutOccupancy Application 1979-3-9 '. ; , ' " , . OCCUPANCY INSPECTION APPLICATI. B:fi1 B 0-9 EXISTING BUILDINGS CITY OF SPRINGF IELD , BUI LDING DEPARH1ENT DATE: .3- 9- ?, JOB ADDRESS: 75t!J cLo... 'c.I"~ NU~1BER OF UNITS: / OWNER: R&~i"S F;ru+ 4~.B.dCl\.iI.ADDRESS: ..,~o "',,... ".~~~lt. APPLICANT: Pe. f,. U lo. "....r~,A ADDRESS: 1011..1- ~~"'" ~ "-t_ FOR ACCESS TO PROPERTY - TELEPHONE: --3.,.2. 113 S A $20,00 INSPECTION FEE IS REQUIRED AT THE TH1E OF APPLICATION THIS APPLICATION F~M ~f1IST I\F SHiNED BY THE OWNER OF .THE PROEPTY TO BE INSP,ECTED Ple.qse c~l/ (Pj,,/ Hv,..rq~ 71(-1'137:) ,f a1- Q II I"JJ.lJ/c '5" T Ct:;.. "",eef Yt?J .i f f1" e b IJj' / 'e. f -j..,. ""',,"", ft.;, f., .<;<"'" fi fln.,t,j ",-,. w..~ ( SIGNATVRE OF PROPERTY OWNER r ../ 11 2-'1 f"14~- t 5'~r;} -t-i... ~J &,'.. J l1~ed do ~N sT'" ,.or,., __'\t,___j;,;:::;___;:;L~__j"":__,,:;;,,I'O'_~~Y______________________________ Date of Inspection: ,5-~3-7r Date o~ Cert. of Compliance: . Date of Report: Receipt Number: REMARKS: ~D-;..~tJ~" .~~~ -m ~<<.t.t'!i-.."1, - ~ ~4c ?() tl'1)- ((y&- () IL :;t:r Rexiutj Fotetjt By.Producttj 750 CHAMBERS STREET, P,O, BOX 2276, EUGENE, OREGON 97402/PHONE ~4?-1R35 _~ ~ -;;-::" ~ C'lt~ 0+ S;f-rJ} Of\. ~lf ~~ '-~~'h~ fu.. ~ ib\hf.j ~ <;'rp+d . ,. ,. . d I ~l/V\ . of ~f.i11Jf ~re:;t B~ld.,\"~ Ot'J i'iO 0-" _ ~T'Q.v\(.j r;..<;pe4-I~ "'0\1,,,, S4,'J ~~ 6'( ... p~ 0/5 ) 0 wr'\.€,"'- Ckl-m.~ ~'f.. F=;...a..n '-0'/ -k, oG.,~J'tVll..p loft ';)..'1 +0 ~41I" 9 " ~ 91IA~--' ~ R i:Z' -------~ HEMLOCK BARK . BARK.Q-MULCH . BARK ROCK. BARKDUST . OLD SAWDUST. FRESH SAWDUST. SHAVINGS. HOGGED FUEL WOOD. PlANTING MIXES. FERTILE MIX. STEER-PLUS. MINT MANURE. LOAM. SAND. CRUSHED & ROUND ROCK DECORATIVE ROCK. TREES. SHRUBS. BEDDING PLANTS. CHEMICALS. FERTILIZERS. TOOLS. MISC. 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