HomeMy WebLinkAboutOccupancy Application 1979-2-15
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'.OCCUPANCY INSPECTION
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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
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FOR ACCESS TO PROPERTY - TELEPHONE: Dan Christensen '485-5115
I would, like the inspection on~~~ 2~ 1979~)
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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
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SIGNATURE OF
FOR OFFICE USE ONLY
Date of Inspection:
Date of Cert. of Compliance:
Date of Report:
'Receipt Number:
REMARKS: