HomeMy WebLinkAboutOccupancy Application 1987-6-17
" " CITY U~ :if'IUNliFlELD
Depattment of Planning and Development
,/ Building Safety Division
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
OCCUPANCY INSPECTION
APPLICATION
DATE: /7 :J7/A/<"-'X?
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OWNER:
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JOB ADDRESS:
mmERS ADDRESS:
APPLICANT: _7-e.A~ 11(J2./"~/C1'
APPLICANTS ADDRESS:
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FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: fDd~/,
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PROPOSED USE:-tJ-<J.pjJ2J4/,'vo.-' (~cL ?"",\.,5 CA'~) N?I?,:"Lu____-"
A $ 35.00 INSPECTION FEE IS REQUIRED AT THE TIME
OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE O~mER OF THE PROPERTY TO
BE INSPECTED.
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SIG~AJ.ul'-E OF PROPERTY OWNER
FOR OFFICE USE ONLY
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DATE OF INSPECTION: ~/'e7ii1'"
DATE OF REPORT:
DATE OF CERTIFICATE-OF COMPLIANCE:
RECEIPT NUMBER:
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DATE, PAID:
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STRUCTURAL INSPECTION REPORT
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DATE &6;/<1)87
PHONE
JOB ADDRESS ~ ~ 2...1'? ~79T AJ
OWNER 15 ILL C',/ c:..
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ADDRESS
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TENANT OR OCCUPANT P~m;tVt!..lE rhs&:4C,
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TYPE OF INSPECTION: _____ HOUSING ~UPANCY _____
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COMPLAINT
FI RE DAMAGE
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INSPECTOR
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OCCUPANCY INSPECTION
19 June 1987
Address
2320 main st.
Springfield ,or.
occupancy inspection
PLUMBING
1. Vacuum breakers required on laundry tray, and hose bibs over laundry tray.
Mechanical
1. Exhaust fan required in bathroom.
2. GAS Furnace flue too close to combustible material (at ceiling).
3. Air intake for furnace too close to garage floor, move to bottom of furnace
and cap old inlet.
rJid~
Ralph Shaw
Mech/insp.
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I CITY U~ SPRINGFIELD
Department of Planning and Dev.' ment
I Building Safety Divisi.
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
OCCUPANCY INSPEClIII~
APPLICATION
SPRINGFIELD
!
DATE: /7 :]';"14<.-'%7
JOB ADDRESS: ..a. 1 20
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OWNER: ~')J Gi))
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mVNERS ADDRESS:
APPLICANT: 7-eA~-1W1I')A/C" 14<:(,,)(,,"114...-)
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APPLICANTS ADDRESS:
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FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: fn~LvI.
~~""""-" < f1...:. ~ ,..N" 7:; r; - /;; ;;J)
PROPOSED USE: ti~~i'lUJ/,'1N' (~cL.~ ?".,.~) CA,a) #11?,,~/,L-,
A $ 35.00 INSPECTION FEE IS REQUIRED, AT THE TIME
OF APPLICATION '
THIS APPLICATION FORM MUST BE SIGNED BY THE OvlliER OF THE PROPERTY TO
BE INSPECTED.
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S IG~~; PRO{El~:TY mVNER
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FOR OFFICE USE ONLY
---------------------------------------------------------------------------
DATE OF INSPECTION:
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RECEIPT NUMBER:
00P(bS
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DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
DATE 'PAID:
COMMENTS:
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