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HomeMy WebLinkAboutPermit Building 1995-5-2 ~ t 7 0 3 2 &2 L/ ~ 0'3 503 OCCUPANCY INSPECTION APPLICATION CITY OF SPRINGFIELD BUILDING DIVISION ================================================================================ DATE: MAY 1, 1995 JOB NUMBER: q~o5l?3 ADDRESS OF INSPECTION: 514 "Q" STREET OWNER: KENTUCKY FRIED CHICKEN OF CALIF PHONE NUMBER: O\lNER'S ADDRESS: P.O. BOX 35910 LOUISVILLE, KY 40232 APPLICANT: BUDG.ET RENT A CAR OF EUGENE APPLICANT'S ADDRESS: 169 West 6th P.O. Box 408 FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: 503-345-2361 (Roger Stephe~) " -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- PROPOSED USE: Car & Truck rentals A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF !HE PROPERTY TO BE INSPECTED. ~ t~~ F~ (' j)A~~ ~ C,.l.L~.. IKi ~~ . 'SIGNATUR~ PROPERTY O~R- f/ ~vczr~./V,;:r ~ <' FOR OFFICE USE ONLY ---------------.-----------------------------------------------------,---------- / q , DATE PAID: /:;2: qtQ RECEIPT NUMBER: 0111 DATE OF INSPECTION: _DATE OF CERTiFICATE OF COMPLIANCE: DATE OF REPORT: , ,. ......,.....-.. COMMENTS: