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Occupancy Application 1985-9-6
ell! Ur ~PKINbrltLU Qgpa~tment of Public WoJlj 'Building Safety Di~isi~ 225 North 5th Street Springfield, Oregon 97477 726-3753 (Bus.) 726-3769 (Insp.) OCCUPANCY INSPEC~ APPLICATION ' SPRINGFIELD . mVNERS ADDRESS: DATE: Cj--0 -[5 -::B ~1b JOB ADDRESS: ]fj :J/J trI a / Y1. S4'Y1c"p [", U .' OWNER: rl,:.o t.. ~ r::rj~, (2'-~~ ~ (//L;nc! ~~ rLc( &.r/? A.l %T/-I 0 'lb.. A APPLICANT:_Rnya", Clt"v.o W ~ APPLICANTS ADDRESS: G '-I":J- ~ Q r"- .Yo~; "" of... U - .I FOR ACCESS TO PROPERTY - - PLEASE INCLUDE TELEPHONE NUMBER: 7'-/7 - ) A 5" :J.. PROPOSED USE: A . ---r- /J t..... re~;r",~ ./~./,CvnJ A $30.00 INSPECTION FEE IS REQUIRED AT Trill TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE o.mER OF THE PROPERTY TO BE INSPECTED. ~ NM>< ("e.tD_ SIGNA~RE OF PROPERTY OHNER FOR OFFICE USE ONLY --------------------------------------------------------------------------- . DATE OF INSPECTION: RECEIPT NUMBER: J3 05;)5 7 CJ-&rfS DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: DATE PAID: ,..-\ ,~ . . ,-.- ~ ~~ J"J4MItJ -- - Fr:<opose:CJ_ 1::P1(7Vf FJtf<J/LlJTf' .. -- - -, --~- -- --- - .._._- -- --. --- ._-- --.. .-..-- - -.- - FRZJOT ~S' 0 ~x 39-'- ;:b2-IJ/?t:J.5E11J ~~77~ OA)Ly- ND -"f'C'~ 'PR.~~TJ.ok.J. ' . -- - ---~.- -- - -- - - -- --_.- -- .-..- -. -- - _H_ -- ~/M,Xur --c--C.AS"~/.F"t~-pov-.-.---B2---- ---- ----- - -- ---- -- - ,p5~-------- ----..--- - - - ,- -. -- -- --~ML-t2aa.j"oM-.II~a -tl$'.. s.~f,/~. = ~t!J__~/d()T.s,__711A-)<._ - ~ --- NliGlJ _o_I_f/1(._~G"_S~~<4 rzO}..L_~U-_8~_G17M.IZ...''''''''aj_, .4-t!).j;--&lr:ue~ei-e__~_. _ _ ____ ___u_~____ _ _.. ,_ h"____ . . - ,_u .tj-t3Y-(7=-])dtteS-7l;u:-f~r:ve- __S./~AJ!$:Z~.:-L1.t.B. -"- Tlf'IS .J)~7= ~'"'-tJ d ..___.L/A.),,~~_.])t.{~~-i:JL.t,-t'''VC$L_~N~-:~---h- _ _ _ _ h __ -.--. - _, .o.__Atrte -TO 7%!ifL~C:Jr-t.f,~--PU.l'r::. 4e.;P~i"ldPo/t"T LG~T --.-.s,Ca~/A)-W/J:T1f-. ______ ____ ______n_ -- _ ---.. 1- -.-- I . . , c:r-J . i':-;.....A' ~./c,' Q f /- .. . " ELECTRICAL INSPECTION REPORT J.DBADORESS)..O 7-tJ /VI~,~ OHNER -- DATE ~! C>~q .s PHONE ADDRESS / '" 4 .t. TENANT OR OCCUPANT J(/~<'I' CI......,ili-'4';.."d- t:J,f [J..,;,,1-€'/ ~<l.Ik. ('h"-,'<.-A... . '," . ~. ;', TYPE OF. INSPECTION: . , , ,,' rke t;;.;~d/~ . 'f::f(:"jJd.i..i~;;r .,(~~f"c-e.f~"/I;~.,.,./7~~.., ( o-->t J:,u.ft. Wet II / ~.. fJ,~I'",'.;1 ,IJ~--wo v...e. At.,.,...I.....", GflH-f LUd.I( 1: R.LiJ<H~i,.,~;';" /vvI,t Ii e' 5'<:1- f..,. a II "/1'(17((" d,"S<-I..,..........(, HOUSING L OCCUPANCY cor.IPLAI1H FIRE DAlI,AGF. ...:;-.....:..'.'.; . .. .. . I('~ h f,.,Ii 1f",:.,.c Tu.,'-e <;. Lf. /.-'0/( s1i II '.fiIII!lb 0 '" t/~ t.s US'~ a.r ~~" U.I~-eal f<>--I j).,'O!'ofo4!&( . Ii .... :.' . ;" .~ '. / INSPECTOR a(), ffY1~ tiP!" , . ~ .;... ~~.,; r; c---, '10"1.) ~ I. . _ . . .--- / ]9 '\ ( - \- (:",;1:- lB~. 1:;-; ~ <!:!~ :J' \. t) tv) LTai~!,:$J ITnGI..J lTi.fJll"".) \ ~ ,31... \ , I i_' f') J: '< I ~" :JI I I i 111~ If '.;:: il Cev,TC r I"P 0>,A"-o/ri/J-:s''- 0"'- Pa.,..-r : ,,>S;ol'\. cval/ 1- ( klCiH G'-.... 10 ~ ..... '- /(PIO ;f1 5-rov~c: "'..::::: .-l~- .,., '0 f o-C <;"tOY;yc " ,^ I ) )~ \~ t- - I ..... b I ---- i / Reshoom.s .....' " ';,/4-. .~ =. I..l \) liJ.f J~ t"< ~ ~ F()CI:J. SCRuicG c"o"J'e~ E'l.JT '7 Foce. Sc.Rui~ """';\f DOOR..c.. ~,.. , hI/. FR. "DooR. \ 36" IRPE . Rt:Nh4I coo",+eR. RRE:.A Ri:5TROOI'V/ 1M FR. [XJO R '3f:." . j I / 7 I' '. - - - - --- I I U<)/Vt'UI.. I l- I ;;l.~'f 'f I _______ ~' ~FRf:8hf\k . , REv rROllJT .. To.pE Oisph'l 5EA-r/lUj AERI9 . , tLELtRDNiCS All.Ul j ~ I , S fu R 0.3 E- . I.JD' = "'\ . , / ~L/ ,I { SUtlE II';-j() I d,(>' "'i' v. I~,.', I "3.,,1 ,-' f -'- . . t ; ') ... -Pl/Yel ' __~ od,~ r/~ lfoPG" ~~b P'r I yv'/r# n/~ C-hr W~ >f I ~p /1/"" (~s> 7&> 1?Mr 10 %c;, ~t7efr IT. -;?eG fr \ W#pY Ybe;.? c;ff ~ ~~vT€' C-t>I7#Go- z ~~~tt:: . ,. . ~ L' -.-- - -- y. ;1 . , ! I I \ ), '" ? '~ 'SE'frnNj AR.'C A . ";)..0/)( 3~ ft- . BOO 5~~+ ..:rr-rc.J:- Rod c i'?Joq 3;l.l\.Q fllClee SC\\cW\ OR.Q?30~ ~bObl7 /7JcSsCf'fc-- 3b4 3'iS-'1 ;;..00 s9>l=r 61=1=1G~ I71=.Rft 5"';' -pco-p/e- sej<l'b^:3 AeRA 13CC>.R. ?o-~\<, j\'\)~ foR 1-h,s fJRJ;'A Res+... 6p00, ~RDI'Y\ lOA", /Nt/II ..f.'30pm ~ tUo.t..o..+eR. Re.~ .h<MfY\ ~ A ~j-c R.- 6/fJO pl>1 w,1I BE". tOltc:. T<\p~ s t-oR..e S"mp)OEf>S (JAJ/Y loH As:LE wi\\ Be. teH de~R. &\e-k fo GOv/vt-evc. NEW P~R.k.iw:) ,qER.ft IS Sp~cc:S f:>a.iW.WlOo~t P~R.Kliv5 lotql .5po.c,E s (,0 78IOt~\ SpaclS s , ;)../.:Fj:>c.R.'5olU e~"CiC;l-y 011.1 13l'1ck. 1<.60", tqPE RENtF~ I ;)..7' 'A)..$I 'I"?; F+- ;;\00 5'(:, for "hI "5 pi"',! A-Re.op, o~!;.iGc:.. 101() 3~ ~+- ""'TqPEREIVt"h-1 ARE.A ~tof.(E OP::10 ID flm to qpm /-.{ fCl.Rk,,;,,S Spa.cc:s ~\\\ BE: p~o\J(aL IAJJ:"MNt ,,~ s fORe /IIlHII 9P1"rt EVeR\1 EVfNJN.5 To-.\l E. S toR.t, wi \I H'tve., ,?. 1-.4 iAJOv\\ '-}' HI ~ h . ~ fiRE Ro.+<:4 S'~e.c..T ROL\::.. ON &+h. slCAc..s 1t~~cmeY\.;-\- To Be (!t1 tUR.,11-e.\'\) Ai'3~d 1b ose. ~ef>..h~oo7l'lS Q,.vct po.~k'.IU.s S~Qces buA.i '-IS 5c>..\d.. ;"'0 v It ~