Loading...
HomeMy WebLinkAboutOccupancy Application 1988-10-4 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 INSPE~N APPLICATION DATE: ocrD~ 3,l"')~ JOB ADDRESS: dJ: 3SV<610 YL L~~ //6< c:;~~ C~ OWNER: At<)Ar.H~_; ro, I Ar,r=-...r, +.:,....... nw..=\ O\VNERS ADDRESS: '"'t'Lf APPLICANT: MAf2.v A.....N \A/. &t2:DAJ::>\'\.J A( c:,., J,- ~ , l MAc.-IL......"'ON ~ 0), 401 APPLICANTS ADDRESS: 1L.i.., T'l2-E:c 1./.1' , \ fnJ-'::" l==:, )", ,~;;. D<2...- 0],4-01:) , , FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER: ~"'\z-3ZP)'5 PROPOSED USE: Nlc..l-f'l" (j....j,,)fL, /Q.~,AVt2-A....rl , A $ 35.00 INSPECTION FEE IS REQUIRED AT T}lli TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OvillER OF THE PROPERTY TO BE INSPECTED. . I /''LOC C;6"1 ':)"1 --udJ fJw,.,L,-"1~;" ~IGNATURE OF PROPERTY 01VNER ~ ~ FOR OFFICE USE ONLY --------------------------------------------------------------------------- DATE OF INSPECTION: RECEIPT NUMBER: I 1-- t(qy /o-L/-rt DATE OF REPORT: DATE PAID: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: OIL /) \ '