HomeMy WebLinkAboutPermit Building 1995-5-2
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OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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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~) "
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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. ~
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'SIGNATUR~ PROPERTY O~R- f/ ~vczr~./V,;:r ~ <'
FOR OFFICE USE ONLY
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DATE PAID: /:;2: qtQ RECEIPT NUMBER: 0111
DATE OF INSPECTION:
_DATE OF CERTiFICATE OF COMPLIANCE:
DATE OF REPORT:
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COMMENTS: