HomeMy WebLinkAboutOccupancy Application 1982-12-13
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OCCUPANCY INSPECTION APPLICATION
EXISTING BUILDINGS
CITY OF SPRINGFIELD
BUILDING DEPARTMENT
DATE: ( :l..../ ~ "
JOB ADDRESS: ~( :l /J (7 ()L 1&1..p.J (, (' j- NUMBER OF UNITS: (
OWNER: P ~1o,-r- {A-GA1J%-, _
,OWNERS ADDRESS:.flL/ . I(I~ JJt, 0l4:fw~ (~(&,I
APPLICANT: CQvr C}13vt. ~--!f)~~ 7A/\ L;
. APPLICANTS ADDRESS: U _ 2 t - W " cQ. - . ' .
FOR ACCESS TO PROPERTY -PLEASE
]'1,/f-t ^ ()
INCLUDE TELEPHONE NUMBER:
7V7/09 (1--'
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A $24.00 INSPECTIQN FEE IS REQUIRED AT THE TIME
OF APPLICATION
THIS APPLICATION FOID1 ~ruST BE SIGNED BY ~{E OWNER OF THE PROPERTY TO BE
INSPECTED. ' J.' .
~ cfWS~ '6t~rER ~
FOR OFFICE USE ONLY .
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DATE OF INSPECTION:
DATE OF CERT. OF COMPLIANCE:
RECEIPT NUMBER: b (00 Or,:; .
DATE OF REPORT:
REMARKS:
31 I
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OCCUPANCY INSPECTION APPLICATION
EXISTING BUILDINGS
CITY OF SPRINGFIELD
BUILDING DEPARTMENT
DATE:
(:2--/5
"
JOB ADDRESS :3 f ;2 j) (70L 'tAfL/ (. ('.(- NUMBER OF UNITS:
OWNER: P .p1on- (A-c'4t~. .
. OWNERS ADDRESS:--1Jl,/ I(/~ JJI{ 0/4Jw;f- (~(&:.I
APPLICANT: CQv~_ C}-8vt. f)--rO ,W~ 7",/\ L.:.
. APPLICANTS ADDRESS: U _ 2 t - W ,,6). . '. ' .
(,
FOR ACCESS TO PROPERTY -'PLEASE
7r1H ), f)
INCLUDE TELEPHONE NUMBER:
7(7/09 II~
"
. t....--'""
A $24.00 INSPECTIQN FEE IS REQUIRED AT THE TIME
OF APPLICATION
THIS APPLICATION FO~1 ~ruST BE SIGNED BY TiE OWNER 'OF THE PROPERTY TO BE
,INSPECTED, '. ~J W.4A ,.. . .
_ . (V~ ~
. \ J oYSr.r~ OtPj.~Y ER ------.,
FOR OFFICE USE ONLY .
----------------------------------------------------------------------------
DArE OF INSPECTION:
DATE OF REPORT:
DATE OF CERT. OF COMPLIANCE:
RECEIPT NUMBER: J) C,O ors- .
REMARKS: . .
. OnYOJI ,[J01J7es he, ttJ h8.J/e fin eketnce'll eon/I't!/ctor .
est/J?lc?te: t~e ttJtOl/ FoUler reZu/.re1'1e;rt /or l1e4J JpJilJ'e .perp'/ce
7u01Jtent, Ex/st/ny ..flerl/he ;'J1t?deft./c7tedt both Iocat/c))tS',
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, RECEIVED DEe 1 3 ...,
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Expo Construction Co.
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GENERAL BUILDERS AND GENERAL ENGINEERS
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SERVICE IS OUR SPECIALTY
1400 STRADELLA CT. . WALNUT CREEK, CALIFORNIA 94596 . 939-4241
December 10, 1982
TO WHOM IT MAY CONCERN:
This letter will authorize the owners of Oregon Domes, Inc. or
my representative, Mr. David Monaghan, to permit the inspection
of 3520 Olympic, Springfield, Oregon.
I further certify that I am the sole owner of subject property.
Sl"fo<e'Y, cR ~"'--
eter La Cava
cc; David Monaghan