HomeMy WebLinkAboutOccupancy Application 1988-2-8 (2)
CITY OF SPRINGFIELD
Department of Planning and Dev~pment
Building Safety Divis~
225 North 5th Street
Springfield, Oregon 97477
726-3753 (Bus.) 726-3769 (Insp.)
OCCUPANCY INSPECtlfN
APPLICATION
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DATE: 2-g-8&
JOB ADDRESS: /9',~ ~#~CEA'
OWNER: ;zr#?-PhL 5h7"':-"'::-0
OHNERS ADDRESS: / 7?, ft./€sT C' <;7
APPLICANT: 7?A-tC..~ ~c-~~L..-'
APPLICANTS ADDRESS: .C:;~E.
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FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: 7S/~ - ~2 9'?
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PROPOSED USE: fff"'~<==?.c::>C;:=-c ~L ~ ;?c:7~/C 5=i"f"e=- 7D4('7:::...._~/<.
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A $ 35.00 INSPECTION FEE IS REQUIRED AT THE TIME
OF APPLICATION '
THIS APPLICATION FORM MUST BE SIGNED BY THE OlillER OF THE PROPERTY TO
BE INSPECTED,
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SIGNATUP~ERTY' ~HNER
FOR OFFICE USE ONLY
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DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
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RECEIPT NUMBER: /c:>q-c6
DATE PAID: "':1~~B
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