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HomeMy WebLinkAboutSpecial Inspection Application 1983-2-28 (2) " ~ /I q__7 . .~ ;# 8 3/03/ OCCUPANCY INSPECTION APPLICATION ~'. ~~ EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPARTMENT DATE: ri -~ 't - g} JOB ADDRESS: "D r1- 0 M A-" r{ ,f'f . S'tr 10 . OWNER: RA'L6'~ N,"cHtIIl$.C::o. OWNERS ADDRESS: (l/ I../? Qo U I'(D tAr (.I R ' E I.J. G. APPLICANT: .s <tIELl. fZ~';'fire..~p.c'ses r rt G APPLICANTS ADDRESS: 77'0 ~€pp~1Z. fR-€c()R. . NUMBER OF UNITS: l' , , I. . , , A. ~. FOR ACCESS TO PROPERTY -' PLEASE INCLUDE TELEPHONE NUMBER: 7 .:L6~ Go ," ~ ' Ide (1./, :J.(~. Sf. 5€~ ')t!dl.," \\A\'~';""\ ,~\ \...() ~ ~0.~ 'Y",,\ " A$24.00 '\ ~ ':. ,~?::.....Y __ -,' ~- INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION SIGNED BY THE OWNER 'OF THE PROPERTY TO BE THIS APPLICATION FOffi1 MUST BE INSPECTED. '.L ' /2 J ~ ',' , ~~(.'v{L IA'~ -. v . ... ~GNAtURE OF PRO~WNEJ\.. t:.AkI~ -- - - - - -- -- - -- - - - - -""--- n IQE-- QIggg _llg - Q~H_ - __ __ _n;" n - ___ "';';'n - --.; -7-.- DATE OF INSPECTION: DATE OF CERT. OF COMPLIANCE: DATE OF REPORT: RECEIPT NUMBER: IS ~ 0 t.( q 'J.; ~ REMARKS: r . 12,.s'" e,rf,J - ~m/It!:.. "~. E_~t9AJt.J - ~~/,.t/~ hr ~ ). - f1..VI ~~; l/Vy9.rr.l' ?/"v,s- . . ,;. ." , " NEW... SHELL ENTERPRISES, INC. Big 'Y'Farmers Market & Bazaar 2175 W. 7th. Avenue Eugene.Oregon 97402 Phone (503) 485-6001 ROY SHEL~686-0846 l WHOLESALE,.. RETAIL... O"D... .' ::i . . PLUMBING INSPECTION REPORT JOB ADDRESS OWNER ADDRESS :'CJ'O ~LP# 1"119 /.../ S r: NttWOLI9S ~, DATE .3 - / / - ~ J PHONE ?). ~ - h'P',2 /lc-~.r "/7 t!LlJ'r. TENANT OR OCCUPANT 5,1f-,u.. .f;vrL:~IJA/r ~ s Z;:::/IIe... 3 7.ro ~j"',....&"" ~~ t:P~t:; TYPE OF INSPECTION: HOUSING OCCUPANCY COMPLAINT FIRE DAMAGE (/ ) ;P .r: cr. S..E<<- r/8,.J ? p / ~ Wl1-nE ~ ~ ~ .r~_ t?OJl!.f h.c. ~.4JLn:. t/.r~ .f'#.k~ & et:-;,.J6'~?7'~ ~,.n_.r E6'{//~,PIP WI,# J)"A;..,J 4PAn- .t'~r-..r.. (,.<) ~)(/.r~/,v~ L//~LC--~v"t: ~(/~-.e/~-' fi4v~ ~;'~ :!,;;I\I' /t//H,v7'7t->'III~o, A/'~/If!: tJ,,-( /fj/~c;. U;~e' .. ..$.ps ~ ~ - L3) ~ s. C. S'LU"___P,v:?/~ (4) ,4~.. /)PL#,^n:~ .T"/'o/r"7J ;:1#/,,*.4" lPf IHN,- J'v.r~_ Smu 84'" ~~Nf.-9N~,.Jrl!.s-- ~.///hE,,? ,p~ ~"p :r,./ #,-v A'f'1''''6'~P ~";,.j~<, IIrlv6 ~ h1"''''~OPIfI/9.ryI M~M<<..r I ~/lU(? tf)>'~.t' &tu. (~) .I r-- - . INSPECTOR .___ I......:'!> . ~ *- 8 3/03/ OCCUPANCY INSPECTION APPLICATION' X:::>', ~~ EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPARTMENT DATE: ;.) -,j.. g - g 3- JOB ADDRESS: :;. D ~ (\ f\Il ~.. r{ ,f'f S" ff' rO , . NUMBER OF UNITS: OWNER: R ALl) tl N " C HtI.II~ l: () Ol-rNERS ADDRESS: III 1./9 Qoul'('D lAp OR Eu (;. APPLICANT: .5 -HE1.!.. ~;'(fF;(e.~P-r'SC$ r rI G APPLICANTS ADDRESS: j7,0 ~€PP.;,e 1'R.€Cl)R. l. ,. I, . , .. FOR ACCESS TO PROPERTY -' PLEASE INCLUDE TELEPHONE NUMBER: 7 i2{,- G, I '1 ~ J~o (1./. ft.(s..!t. Sf. 5€E ')O(l.;" L \\i\\ \ 'G\ \.\l "l--- ~~." 'l(",,~\ A$24.00 \ "\ ~ > '- .. ~= ~ , -- INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION SIGNED BY THE OWNER'OF THE PROPERTY TO BE THIS APPLICATION FOffi1 MUST BE INSPECTED. ~ ' . /2 ~ ~.,. .' . .' , ".?!((-/ltfpt/v!-C a . ..; . v,' ". " .. . .~--~~WNER ~.lkk&; - - u _ _ _ _ __ _ _ _ ___ _..;. _u u KQ!3-_ Qftf9~ .yg _ Qtll-L ___ ____-:-_ u_ u_ ~,,;;,___ u _ _~;:.._ DATE OF INSPECTION: DATE OF CERT. OF COMPLIANCE: DATE OF REPORT: REMARKS: RECEIPT NUMBER: "6 to 0 t( q."L , / "."