HomeMy WebLinkAboutOccupancy Application 1986-9-10
CITY OF SPRINGFIELD.
Department of Planning and Dev ment
Building Safety Division
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
OCCUPANCY INSPE~
APPLICATION
SPRINGFIELD
DATE: qJJt1Joxl..
, 1
JOB ADDRESS: ::1'3;go
OWNER: JJ-MLJ
:::t:l: 8(00(04 Z-
MAl...) 5.T.
~AUJIdeU - nu),,)~ /8t.1vlj)~
-/ -
A
~b-
,~
OHNERS ADDRESS:
'5.lfnU'-
::sAme
APPLICANT:
APPLICANTS ADDRESS: SAOUr
....J()IO plfPL,Jf::,
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 1<1(~-7'l:;;O
~~s:'~?A r ~Hh' r~~ ~.. 9~?- ::YO";?_'
PROPOSED USE:
(JAR. !:.~.&:r AlRLfAI
'-
A $ 35.00 INSPECTION FEE IS REQUIRED, AT THE TIME
OF APPLICATION .
THIS APPLICATION FORM MUST
BE INSPECTED.
~1/Il4~/A'
Ffi<..' ,9 Po/'1~ AIf-1
FOR OFFICE USE ONLY
---------------------------------------------------------------------------
DATE OF INSPECTION:
DATE OF REPORT:
1-/2-:?(~
RECEIPT NUMBER:
I, -"1 n:; 'L..
o J /o/X-I.u
DATE PAID:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
,
. .
J[' '-) , -J-I
3:2 W1J)(Y Xo 2 7-r~ ;--'2- J C ~.
h X _/
v
~ ~/- !/Gm('7~~ S~l?~~~
~ v'~~ r- S~~~
o ,e~ -' /M.?3" S~e
CJ
r:::ev'~ t3, ~~ UI/.o~
.. J 3 '4!k.J/I.J 4.t/) 46" .
/'fi /) CJT{I et7S
-s~
to
o