HomeMy WebLinkAboutOccupancy Application 1986-3-21
. Department of Planning and Dev~pment
Building Safety Divis..,
. 225 North 5th Street
Springfield, Dregon 97477 .
726-3753 (Bus.) 726-3769 (Insp.)
OCCUPANCY INSPE~~.n~
APPLICATIO~ ~"'-"'~
. SPRINGFIELD
---' --
. , t/5ir/MJ If7tJ Y # <C6o fa'?
DATE: -2" - d /- Yib . €':!. .y
JOB ADDRESS,: '33]0 '-P7~' .... -40.-d c:flt.77Y?"?E
OWNER: f~ ~ lJI~ ~ J/;:rJ ,
mVNERS ADDRESS: :; ~ 2.3 ~?" c.;.., - ycj'0'/ q /flU Md~L/.
APPLICANT: " Jz/ M-t5- -1-17../ .
APPLICANTS ADDRESS: YCJt/ ;rq fLe-t ~.,{~, ~.~ L~,cJt
. Y
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER:
717 - 37 -z....c. - (lad f-, ~ MH2/ ~A~ ~1 ~L.-
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PROPOSED USE :'-111 t24A../ ~,,/_ 4/l-4fc2/'
A $30.00 INSPECTION FEE IS REQUIRED AT THE
OF APPLICATION
TIME
THE ,"OPERTY *
THIS APPLICATION FORM MUST BE SIGNED BY THE OvffiER OF
~E INSPECTED.
~ 'l-1-LrL
SIGNATUP~ OF PROPERTY OIVNER
FOR OFFICE USE ONLY
---------------------------------------------------------------------------
DATE OF INSPECTION:
DATE OF REPORT:
3/27/ rr0
/ /
RECEIPT NUMBER: /2.,?,/.. J ~d-
-- ;
DATE PAID: ,,:?/2//~~
-/ /
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: r.--'(jlcu:, ~LFi-;4.X. rzDr{,,~,e;-f1 ).&1 A,dt. #(/7IcY.;>:.
1/,u.c..~CiM6- 6veC<.~. (fJ).J r?-l!J/d f..tJo+v. Pa/:cu.f led ,6,,;i!.. _
)flac.b. deal e-r- as ;J.~&u.J-Iy. .Jj.J :5~ /t~ jV6f/ 1~;/~
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i:. ~ .:'"'. '-, ..
uepartment or Plannlng ana uev~ment
Building Safety Oivis~
. 225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
OCCUPANCY INSPECli:'.nl
APPLICATION ~"""'~
. SPRINGFIELD
DATE: .-:;") - cJ / - ? h . , Ir.:~' li)::--'
JOB ADDRESS: '33../.0 ~~' ~~~
OWNER: f~ ~ i;!~ : Jle;'} v v
OIVNERS ADDRESS: :; Z ~ ~/.!.~- Pcf'0/ c; ;fiC/ Md~//.
1zt #1~ _1.L~".1
" (f
APPLICANTS ADDRESS: _fCIII/q te~ '?:;:7J~~
#= ~/B;'7
c:fle, 7' 7~7 F
APPLICANT:
~:-/ /.-I,CJt
. ...
7c/7- 37-Z-c. -
(lad f...
-'
---JJ7 L2fi,;!./ _:0'1/_
PROPOSED USE:
A $30.00 INSPECTION FEE IS REQUIRED AT THE TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OvmER OF THE PROPERTY TO
BE INSPECTED.
.~ ~1~L
SIGNATUP~ OF PROPERTY OWNER
FOR OFFICE USE ONLY
---------------------------------------------------------------------------
DATE OF INSPECTION:3~ 7/8'v RECEIPT NJJMBER: ~ c,~ I z:;-1
DATE OF REPORT: DATE PAID: _Y2~
.
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:_&....:..,.~ 1,,-'1."",''1'\ " /.. ...<>v-,<..f~cII C '" ,..d" S"t.or'-.< "'... (,'~ 'i J.,ddw,,",~
"" .
a i .on-,l n"Y f I,,'f '..>1 d 0-/: 1 /---r.Aio'J/ 70 /. 1ft 15 -;p'..........."r.p .AIIW ~~ f..,_ ...... ,~,;,..rp
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,:"" <;..."",,1/ ,f'1;,""'r pi'?) .....00"""-_ ""';",rt" //(;:;"1 .-.f./~S ;""9 C-')/I.,."..pl,;7,;xc::>_~ "
21~se ~/( "'...... ':-<.~~~ "",/J.......r..-....{tp(c:.u~dLl.:f keles <I'<"1J P.r.~.....,'f'f c,,..,,........,.f
ka?-<"....:;._ /';,/rl:s ~...-<'/ Ja_ i::~.....( ..,..,.,,,,0/4'0/ .nh.e;.cl'..."",~<c,:? . ,"...., 7/'_ ",fi".",
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