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Home My WebLink AboutOccupancy Application 1985-11-7 CITY OF SPRINGFIELD Uepar.tment of Pub 1 i c 14o~ Building Safety Oivisi. 225 North 5th Street Springfield, Oregon 97477 726-3753 (Bus,) 726-3769 (Insp.) M~" rrC-cC OCCUPANCY INSPECT~ APPLICATION ....;/ _7:......- -" /~.. ~ . ~ grSIOIo d- JOB ADDRESS: ,.~ ( LA. LAC-A V R~ ])'R- - ~_WUTtRtEl< (eACfE-6 b r:./:h~j'p ir 3 o~ /1) 74t/. Jf. DATE: OI-lNE R : OI-lNERS ADDRESS: lot APPLICANT: m;k p J;N7 ';'~/d Dr c; 71-7 A FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 720 .fJ7/o APPLICANTS ADDRESS: PROPOSED USE: lJl"'0~ ""'-',....'-'- -h~.t....,,~ A $30.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION I THIS APPLICATION FORM MUST BE BE INSPECTED. OttC~~:~&W7'?.2t4~ .riA- Iv "r:;, .;:;.:;;/ Q' r 0 / de (''''711 W / it t :"';1' I"YI. I~ ~I '1',,11 /,::> -r (/ ~ ""TfTi-p ~ /t:;l?/~ C#il6c V'~T m ,~,ru~ IJ.lYh ~.ar) A'EtfI//Kc-~ ,~tOzm() <f('~~ .' t/ 7i / , . ~ (.-ivc: / .....t./~ e -1?J )/~v-r ~/A'~ . ~~10~n.L . . ~610cP2- STRUCTURAL INSPECTION REPORT JOB ADDRESS OWNER ADDRESS ,:3520 t"9t ;/h, / / (7./ DATE PHONE I/~/f;> f f TENANT OR OCCUPANT Wt?nJ A4/J4JI/;r-A/'l.-7UA'?I.lP; . .". . .. TYPE OF INSPECTION: _____ HOUSING ~OCCUPANCY _____ COMPLAINT I .ds- nn ~h ~;S'h~r.&.Ul if "S/{/')u) 1P1Jl),,'Il ' ( &> - :t ) --. ( . ~ j 7./'1')') I'?-f S, ~ w?J?rh tU7'tf' K II It? 11-1-.3 ) ~ , M<f=:-,r,l.t. _ /'Y)F',,) "n." I~ IIf!..I~fJt) jo.;iPA,.,n-;::) ~ne!AC'77-lI'Lt. .J /2 X/4 tJrr7'l (.L.) j () 7" ih'N/) /2.) FIRE DAMAGE , 91') \I.t. (" A,U7A0lV , - J J /')it/r:; .A;err ~ - M-J A-J~~ ( l/i II ~u1J 7'I::1_ezt:rf.'il(/<,-j(_ klrS?Jh' ;./-.8//":.) /,I) JIM. ?/fl f- I,JAr (~ u.J/J):) /) / Ill;" j/ I il> i7/l/':::;,) -n--CC,=( "He., -.' . ,f,7I~ do .lI/tf il /) CO r " - #,e 1- Il;r(,/r:=,) !Je.--:u( 'n>'U ~!.fr?:r77/?X) - dA7q) /1-e/~///C /,c c c/'//.,,,' ;/5'1->) , ./ /.fJ";:;/,:>A"' //,,/ /JI"TA )<~/--f'4 't. .- ;.,;, Ii,SPECTOR .