HomeMy WebLinkAboutOccupancy Application 1983-11-18
CITY OF SPRINGFIELD.'
Department of Public W s
Building Safety Division
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769, (Insp.)
0.c,~ LP20\S 13'lV15
OCCUPANCY INSPEC N
APPLICATION
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JOB ADDRESS: '3 <6 ( S \'<\(31,'1'\ S~u...A'
OWNER: (,'0,\ C,'f'i,61\'C...,1[" ~ ~~ \ \ ~'Lc...d)<:)f\
C/Q ~~"* - ffi..ill ~<()L\ ~)>(()~:'-\
OHNERS ADDRESS: (.p.~C\fu-~\.lf0\; eX: ') \"1uq ~~'" ~~ '
APPLICANT: rn r-d(~ ] L ,::)1)' J " F. R F~
APPLICANTS ADDRESS: 10 Q (?,.f? AN j T E. ?/....
DATE:
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FOR ACCESS TO PROPERTY - - PLEASE INCLUDE TELEPHONE NUMBER: 1 7 - () 9 4-:J...
7L/tf.-Q::z..30 - 5)Afi2,G/Y ,c/vfUl- AlfJ"t)<!,A'I--I ?Y!/t-/IM,IU???7i'..../7-'
PROPOSED USE: ./?-2... 70 A-? (l""AIVe..€!S/ON
~ A $30.0CJ-1NspECTION FEE IS REQUIRED AT THE TIME
~""" OF APPLICATION '
937'3532- .;;JEAN
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S..APPLICATION FORM MUST BE SIGNED. BX ,THE mINER OF...THE_.PROPERTY..TO .__ _., _ . .'
, """BE -iNSPECTED, "..' '--:~::.:' ---.,--:. ."','", ,,'
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SIGNATUP~ OF PROPERTY OiVNER ~
FOR OFFICE USE ONLY
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DATE OF INSPECTION: \ \' ,7 \ ,~ - \ \' (()RECEIPT NUMBER:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
DATE PAID:
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CITY OF SPRINGFIELD..
Department of Public W s
B u i 1 din g Sa f e ty D i vis ion -
225 North 5th Street I
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
!G.c,-J:!. l.P2.0IS -3Z-2J-jS
OCCUPANCY INSPEC~N
APPLICATION
SPRINGFIELD ,
~~
1111<6/93
I ' ..A-
JOB ADDRESS: '3 <6 ( '5 \'N3',i'f\ q~u.J\.
OWNER: (,8.,\ (,'0;\61\'C.Jr ~~; \ \ '1\'LJ...JJGf\
C/o ~ay,,* - \B,'t...'II ~~'L\ \''fC\X!+,--\ '1\\.0::1\('1\.'\ J d:.'I\\;...
m-lNERS ADDRESS: (.p,,,,(\.~ ~\i[(\\\cX: ') \"luq \',v::w', ~~. lulO-Q,'d..?--t>
APPLICANT:~~ ~F_
APPLICANTS ADDRESS:-20 () r:..~AnJj TE.?/..... SeRlnJf-...r) f.I..D i OL
m.B. ,/
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 1,+7- () (] tJ.:J...
7L/t, -Q:1..3 0 - ./)Afi2,GN /='/1/(1 eD' A",,pc!'^,/-o./ 'J'Yl/t.N.,f.C)2.?77r.-"rT-
DATE:
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PROPOSED USE:
.J?-2
-ro
..4-2...
(lmAJ ve..es "ON
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A $30.0~ECTION FEE IS REQUIRED AT THE TIME
O OF APPLICATION '
937'3532. ..tl:A/rJ
''"-- '
-S-APPLICATION FORM MUST BE SIGN]':D,BY THE OI-JNER OF,THE
n'\"-BE -INSP'ECTED .n.:' ' " .:--::-::-: -:- ,-...- .' ___ ,"
,PROFERTY_,.TO .-,
- ~. ..'
(\\N\~J\.~~~),_~c1~ ('b~~ ~O)
SIGNATURE OF PROPERTY O,VNER.. ~
FOR OFFICE USE ONLY
---------------------------------------------------------------------------
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DATE OF INSPECTION: \ \ !:J_\ - %~ '\ RECE,IPT NUMBER:
DATE OF REPORT:
DATE OF CERTIFICATE OF COM]
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DATE PAID:
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COMMENTS:
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CITY OF SPRINGFIELD ...
Department of Public l4o~
Building Safety Division
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
~c ~ LP 2.0 \ 5 iii.2, z:V-fS SPRINGFIELD
OCCUPANCY INSPEC~
APPLICATION
1111<2/93
I ' ""-
JOB ADDRESS: .':) <6 ., S \'{\~\~f\ S<<-~
OWNER: (''O{'\ (,'f'i\6t\'CX ~ ~\\ ~'D:..Jj0f\
C)Q ~Clvftt- - ffi,ti'\ ~\'J'G\ ,?'i'c?0:K1
O\VNERS ADDRESS: (.p,-N\fu- ~\.lr("\ eJc) \'luq ~\'I'.. ~~ .
APPLICANT:~ ~F~
APPLICANTS ADDRESS: 109 G-r< ~nJ; T E 71....
DATE:
n\.~YR '\ ,1C..'f\~'
-, u Q:,-Q, ~ "'-,l'->
,
.r
S'Pf(inJr-..Fif-/"'p OL
?71. $. y:. I
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 1 7- () 9 4:;"
7~t -~.2..3 0 - ./7AJe;F/v ~/IIfl eL- AtJ)~cA'I-'; "h1/M//1~e~ e,.t.I'~
PROPOSED USE: J? - 2. 70 A -2_ (JmAJlI.e.~s/ON
~ A $30. O~CTION FEE IS REQUIRED. AT THE TIME
OF APPLICATION '
9.37'3S32... If:A/IJ
',--
APPLICATION FORM MUST BE SIGNED BY THE OvrnER OF THEPROPERrY TO.
~--_.-
BE INSPEC:';~--Q N\h,,~ ^>0~ ~ (,,<>.'>J<\Ir).0)
~ SIGNATURE OF PROPERTY OIVNER' ~
FOR OFFICE USE ONLY
DATE OF INSPECTION:
DATE OF REPORT:
RECEIPT NUMBER:
DATE PAID:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
,