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HomeMy WebLinkAboutOccupancy Application 1978-5-11 6 OCCU}.~CY INSPECTION APPLICATION Oh'ner: -iJ1 >T.le??:!, /('j ~ D G'J ~iLe1* ~;/,!;~&-,~ ,d~d .. t. ~.~.., I ,; , EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPAR111ENT Date: ~ Job Address: ,. No. of Units: ~) ~' For Access to Property - Telephone: ,77"6'" ~7?:L . k~ ..b,/ -~, d / 1&!U7',~, "C/. IF ,',: J lJ - fU-7n~Jj', @dd~~-f~~d~ ,a~~ . A $20 inspection fee is required at the time of application. -~~ J ~ rii\~,' 51 ~' J Ii f .f ..~ -j ;f I ~, I Address: 4.c~/Y7l-'<-_' Applicant: .4..-a/}-;? t7 Address: Remarks: Kl1HS APPLICATION FO"Rl-f HUST BE SIGNED BY THE OVll'TER OF TilE PROPERTY TO BE INSPECTED. ~ ' ,~ ~~ S GNA,~'t~'P~R .. - - - - - - - - , i. j - - - - - - - - - - - - - - - - - - - - - CJ;/.2!_ /!; / 'f? l Y c FOR OFFICE USE ONLY Date of Illspection~ Dille of Co(C; Date of Reporj:: Receipt No.: r......j 0':~"" ~\i:-' .:~:\. . :";"~~~,~"1":}~1;o..t.-.\~.\~. '. .:,~~t/~~~~{:;d~S~.~.~'~~':.:,'" . , ',:(''', . , ' . i:",., <.", ..... . " " , . ,~! li '.,~ , I ",I," ,~,...,.":' ..j /.,,'~'::<:, '.<:'.\;':~~~;. ,I.J "..;....- ,'., ~':'" .. '/' '1"f).t r.~' .. -;,>~~ '. . ~. . . 'l~ \"'~1': '';'~~-f'i,\,,,':r" ~. ~ '. ...,. '.f ;r. "';"',~.. ~~\~'l~;-J.. ~:\"J' )"t'~:': ~,IJ" ... .:I~!.1~t:",~~~~:~:\r:~:'''''''~~' 'J i", '" ~ . '. . ,'. . .:, ..... .' ' , <,,0(:: .~,".:":>~"'\~:'-,;.':':'-t:,~,:'~L~-<,S:.:::,~?:,<:~itfli~':' , "'.: .. :..~~:. '~:-l, ~..!l- "':1> CITY OF SPRINGFIELD, OREGON Pub lic Works BUILDING DEPARTI1ENT P~.J - 11 Inspector's Memo JOB ADDRESS' /lJfRlJ V,~ ~A r /) + ~, TO: -"-f~Af' 7d ,.n b..>4-"i~:;J ~ - - 6' ' ' NorE: t1# () -1~~ -;W-'A',f~ ~ ~ ' (f!(~f3~A #I~~-- ~ 'kL.J~~~ ~ . Ji;~. adJ d4/. <f'~ ~~rt-:/~&~~ti-c~v~~ ~otJr~L ;' ~..~ ' /-" . ~A I ' ~ .DfiY>lld>--'\ J/ O~~ C\~~ 1f:.~ It) I. i: ~ ~ lY '7:: J (()(i~~ C) dOl' DATE 6~1 I- 7 ~// I;'" '''' fi11>> _ ffJ/j 1\ . A;> uA ~AI ,Of HJtfLJ2.'!.-",~ 1/V ~ ,......,,~ ,- Iir - ~ Phone 747-4221 INSPECTOR ~ti~ CITY OF SPRINGFIELD, OREGON Public Works BUILDING DEPARTMENT PW-ll Inspector's Memo , , ,r JOB ADDRESS /tC?~O ~ TO: ~. :b;"A~ . - f lJ // yY DATE 5,..1/~ 7 g NOTE: ~~~ ~r-du~~,A~, ~~,~L , /' .- k~~~ ~.~ (..,.~,. II - - r~~_,..r7~~~ ~ Ah~JL~A~~ ~ , , ~-- ~ I ~.JI I Phone 747-4221 ~. INSPECTOR r (j./() ~ 12fJ....hA../ - ~.