HomeMy WebLinkAboutMiscellaneous License 1994-5-10
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OWNER/EMPLOYEE - ·
NAME, CRl.$ KllHNHAlISFN Po ,JOHN KIMPTON i
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THIS LICENSE IS NONTRANSFERABLE .j
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[!] NEW LICENSE
CITY OF SPRINGFIELD
LICENSE NO, 930664
AMOUNT REC'D. $40.00
DATE 4/26/94
# OF UNITS
o RENEWAL
BUSINESS LICENSE
CONTROL COPY
LICENSE TYPJ:'
ALARM SYSTEM
EXPIRa::~.
INDEFINITF
BUSINESS NAME:
A STREET AUTOMOTIVE SPFCIAI ISTS
MAILING
ADDRESS:
BUSINESS
LOCATION,
3445 MAIN STREET
3445 MAIN STREET
SPRINGFIELD OR 97478
CITY, STATE, ZIP:
SPRINGFIELD OR 9747R
CITY, STATE, ZIP-
726-8453
PHONE NUMBER:
726-8453
PHONE NUMBER-
LICENSE APPROVAL
'*
COMMENT$o
;~~OVEDROUTED
pS: ROUTED
APR 2 6 1994
MAY 5 1994
OATE
DATE
DATE
10
APPROVED MAY)r 1994
DATE
BUSINESS LICENSE SUPERVISOR
..
DATE
.
$40 FEE. 4+rn~ Wtn~ .
It c;/~ Avfomo1-~/e-
ALARM SYSTEM PERMIT -
CITY OF SPRINGFIELD
DEVELOPMENT SERVICES
225 FIFTH STREET
SPRINGFIELD OR 97477
DATE:
JI./-dl-t;o/
IS THE ALARM SYSTEM BEING INSTALLED AT A RESIDENTIAL OR BUSINESS
LOCATION?
RESIDENTIAL
BUSINESS
x
If a residentially installed system, please complete questions
1 through 6. If the system is being installed at a business
location, please complete questions 7 through 13.
1. Name:
2. Address:
City:
State:
Zip:
3. Phone Number:
4. Date of Birth:
5. Is the system being installed by the homeowner? Yes No
If no, then indicate the company that will be installing the alarm
system:
6. Date of installation:
- - - - - - - - - - - - - - - - - - - - - - -
7. Business name (only if system was installed in business):
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8. Owner Name: Cx-:c.. \ol...\--", \r\ClH<.n..-, ~ :\,...,\-m ~',~.\.,-,(\
<II. 'l" ;II
9. Owner date of birth:~/u>:3 ~ q~
10. Business address: ._~LW5 lYIn..." <;,-\-v-".~
Zip:~X"
City: S?(":0~Q"ld State: oR
11. Phone Number:--5.()7.,- .,~l<..t...",3_
12. Company that installed alarm system: S-.",:+Vn\
Sl'C 11 r:~
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13. Date of installation:
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ELECTRICAL PERMIT -REQUIRED
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