HomeMy WebLinkAboutSpecial Inspection Application 1983-2-28
NEW...
~'I'
'.J I '.
I
aA>
-
.D
....
.~ :# 8 3/031
O'.~O
SHELL ENTERPRISES, INC,
Big 'Y'Farmers Market & Bazaar
2175 W. 7th. Avenue
Eugene,Oregon 97402
Phone (503) 485-6001
INSPECTION APPLICATION
lISTING BUILDINGS
ILD
ROY: SHEL~ y86-0846
WHOLESALE...
RETAIL...
BUILDING DEPARTMENT
DATE: d -,j. '?; - g 3-
JOB ADDRESS: :;). () ~ () (VI A-: r{ ,f'f
OWNER: ~AL~~ NI'cHtIIl~ ~()
OWNERS ADDRESS: III 1./1 Qo U I'(D lAp 0 R . E lJ. (;.
APPLICANT: .s .H~J..I. ~;'{fFiR..~P-c'S~5 r rI G
APPLICANTS ADDRESS: J 7' 0 P€ pp~te. fR..€c . OR.
I,'
oJ/
' . /
S'tr fo .
. NUMBER OF UNITS:
',~'
~
,.
FOR ACCESS TO PROPERTY -' PLEASE INCLUDE TELEPHONE NUMBER: .7 .i~ ~ G, I 9 ~
.
J de fl/. :t- ( 6.!t. Sf. 5 €~ . J 0 fl. ,. ..
~\ \'~0,\ \ "'---\. " C) ""'- ~C'-.'" Y,.c~\
'\.
\
~___..J "..........~~
,
A $24.00 INSPECTION FEE IS REQUIRED AT THE TIME
OF APPLICATION
THIS APPLICATION FOro.! MUST BE SIGNED BY THE OWNER 'OF THE PROPERTY TO BE
INSPECTED.
. .?f(~d(-U d M~ -/rtf/".
SIGNATURE OF PROPERTY~WNER~; ;t~c/'*;
-- u _ _ __ __ ___ __ __ __u _ u ~Q~_ Qftf9; _yg - QtlE - u_ u____ u_ __ - ",""'u u_ ~!"~,.L.-
DATE OF INSPECTION: DATE OF CERT. OF COMPLIANCE:
RECEIPT NUMBER: IS f.o 0 t{ q ~
DATE OF REPORT:
REMARKS:
r q2~.sr efrff - ~tp,4/, ~. E_&t)>..JL.$ - k'~/;<Ol/i', hr ~
). - A.I// tJ~~ (h1.t9.rr:il!" ?/"vIS-
;."5
fL~?
f~Y