HomeMy WebLinkAboutOccupancy Application 1990-8-15
CITY OF SPRINGFIELD
Department of Planning and Deve~ment
Building Safety Divisi'"
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
OCCUPANCY INSPEC~
APPLICATION
SPRINGFIELD
DATE:
August 15, -.1990
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JOB ADDRESS: 2590 Main St., Springfield, OR. 97477
OWNER:
Nicholas Co.
/
mmERS ADDRESS: c/o 1449 Roundup Drive, Eugene, Or. 97401
APPLICANT: Mr. Udo G. Domme
APPLICANTS ADDRESS: 1385 Goodpasture Island Rd, Eugene, OR. 97401
FOR ACCESS TO PROPERTYnPLEASE INCLUDE TELEPHONE NUMBER: 344-2400 Louis Weil
can be paged at any time and will return the call within minutes.
PROPOSED USE: Repair of conveyor systems.
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.
~1//A1/!L;) ;~11:. E,./L~A/k~ft~
~:[~ATURE OF PROPERty OWNEl . / CO,
FOR OFFICE USE ONLY
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DATE OF INSPECTION:
RECEIPT NUMBER: '/ ~ () &; $"
DATE PAID: g-II~ - 10
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: --.11/'
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