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HomeMy WebLinkAboutOccupancy Application 1979-2-15 , (J-::J '.OCCUPANCY INSPECTION . APPLICATION 20<67 EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPARTMENT DATE: 2-15-79 JOB ADDRESS: 4740 Main Street NUMBER OF UNITS: (1) Warehouse OIVNER: Cecil Saxon ADDRESS: 2837 Willamette, Eugene, Oregon APPLICANT: Dan Christensen ADDRESS: 361 Oakway Mall, Eugene, Oregon " FOR ACCESS TO PROPERTY - TELEPHONE: Dan Christensen '485-5115 I would, like the inspection on~~~ 2~ 1979~) ---fA-LD ?_-IG-'1l' A $20.00 INSPECTION FEE IS REQUIRED AT THE TH1E OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OIVNER OF THE PROEPTY T BE INSPECTED ~ SIGNATURE OF FOR OFFICE USE ONLY Date of Inspection: Date of Cert. of Compliance: Date of Report: 'Receipt Number: REMARKS: