HomeMy WebLinkAboutPermit Miscellaneous 1994-6-23
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AL~ SYSTEM PERKIT
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CITY OF SPRINGFIELD
DEVELOPMENT SERVICES
225 FIFTH STREET
SPRINGFIELD OR 97477
DATE: h~? '3- 4 Lj
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IS THE ALARM SYSTEM BEING INSTALLED AT A RESIDENTIAL OR BUSINESS
LOCATION?
RESIDENTIAL
1
BUSINESS
If a residentially installed system, please complete questions
1 through 6. If the system is being installed at a business
location, please complete'questions 7 through 13.
1-
2.
Name: I,'A") -rr,)*6fL
Address: ;::s;)~ 1 Vh.u.sc..."f- ~ \ ,li:)
CityS.C.....I''''~<;;!I,\(''\ State: f!)rlJ~(V\ Zip:
Phone Number: I Lilli - 07.slo, 4. Date of Birth: X
Is the system being installed by the homeowner? Yes
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No X
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5.
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If no, then indicate the company that will be installing the alarm
system:
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6. Date of installation: "{" - @?, -9W
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7. Business name (only if system was installed in business):
8. Owner Name:
9. Owner date of bi rth:
10. Business address:
City: State:
11. Phone Number:
Zip:
12. Company that installed alarm system:
B., Date of installation:
ELECTRICAL PERMIT REQUIRED
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AMERI - TECH SECURITY SYSTEMS. INC.
USCF Ma-1lM.- pe-h<.v0 fa..:;,ct 4-1" ov-r- ~~r:
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APPROVED J U L 7 1994 _ : i"
DATE BUSINESS LICENSE SUPERVISOR DATE ~'
THIS LICENSE IS NONTRANSFERABLE . Ii
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CITY OF SPRINGFIELD
LICENSE NO. 940371
AMOUNT REC'D.$40. 00
DATE 6/30/94
# OF UNITS
o RENEWAL
BUSINESS LICENSE
FINANCE CO~TROL COP~
LICENSE TYPE:
ALARM SYST~M
EXPIRES:
TNOFFTNTTF
BUSINESS NAME:
IVAN TROTTFR
OWNER/EMPLOYEE
NAME: TVAN TllnTH'R
BUSINESS
LOCATION.
MAILING
ADDRESS:
3281 PHEASANT BLVD.
3281 PHE~ANT BLVD.
...:; CITY, STATE, ZIP:
SPRTNGFT~O OR q~7
~4fi-07'ifi
CITY, STATE, ZIP:
SPRTNr.FTFI 0 OR q7477
PHONE NUMBER:
746-0756
PHONE NUMBER: .
LICENSE APPROVAL
APPROVED:
PO = ROUTED
nc; . ROUTED
COMMENTS:
JUL 5
JUL7
1994
1994
DATE
DATE
DATE