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Special Inspection Occupancy 1978-4-13
;; '-,--"" ..- .,~. \~,~:L::,~'.}'~~~;' d ' ;J' ~ f'\~ 'l~_\~ .., I, ,. I I ,,' :'~'..:';::'"" .,.', " I"(\~\. ~j\. ~t\. ,.. ,.", ,,' .~"", ~ '~~ '~:'\ ~} ',' '. ., '.', .':.<::'{",,.'..r':',',,.< ,.:,:,:,~,.l~~:..~.e~ ,"'I~ ';.,' ,', '\jlJ\;: '".''fY\,n ,......"" 1r,1'.',,'1"\ N<<'~."',':.'" : ~'.,' ~. "'f\'" " " ': ...'. c,.,', ,,;'.,", ' ":,' ',:: ,,"::,,: ".: . ",": ',,> ;,.:,;, ,".\':":~;'.' ..~...\.0~</:.i_~ '--'----.....~.. " .., .'. qo '.. ",.,'..' ," , " : "',..",...""...,'."."'.'..," ~..rv"\n. ~ "~;,~..."",,:,,, " CJ~....~'-..(!)'n. ,~.." ,"'...~':'.' ~~ lr"\' .....,.. , I~' '. ,'" .',.". ",', "... ..'......,......,~D.',O.',~......~..Df\ . ~ I ~ .aa..... .~<.:,~: , . ,~.';:'\o~ -\~ "7 ' : . \J 0' 0 .. . ... ..... ~)\\JJCSL \ . \ ro.rJLt~~ . . .. . . , ' ' "C\~ ",,,..; ,I.': :~<.:.; ., .~>!f' . ---....:...... --....... '.-'.-- ---..........-.-..-._.~~- --; - . ..: ..,:- ~ '.....n '_. .....;..._..4___ -_.-.-...-- .... --.----'-..--- , OCCUPANCY I~SPECTION APPLICATION EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPAR'nlENT " '-. '\ I 1e- Date: -11- /3 - D A Job Address: ~/ S ~-~.. ~I'P/ O\.J~er: ~/7~~~ Applicant:-^~# ~/T!Z# No. of Units: one For Access to Property - Telephone: S~2'. t7.L:J ttk~ Adoress:.-5?b80 ~,f/~/ ;;g~_- /3 7 q ~\l K;f\i\b~tI-747-'?~~5': - L!,o.~o~g..~ 'ft5"::-?S'~~_..~..(Sh(J.V'C>1II Po" M~...">A-je-(nf(.7,.q(t:/it? )/fl.I'OId./-J'4vsh. 1~M1.Q.. - 7:;'(0 -7~;;'" ,~6~(;;.,.e. - --!W 14.e/j4P.;( Address: 7/1h-,t7~2:2 Remarks,: A $20 inspection fee is requirid at the time of applicatiop. (nlIS APPLICATION FORN HUST BE SIGNED BY THE' OViNER OF THE PROPERTY TO BE INSPECTED. ~~~~d~~~ - - - - - - - - - - - - - - - - - - - - - FOR OFFICE.USE ONLY - - - - Date of I\1spcction-: i-/7-7r D.ltc of corc: Date of Repor,r: Receipt No.: DATE </-/7-7,1" 7'17- Yh~~Vl' L/f~-]r~3 ~. &-">' ditd.l d~080 -,tf. /;/ ~ 'tJ ~- &17- 9tbfv' ~L 'i 1)l~-7rJ-L, -CITY~OF SPRINGFIELD, OREGON Pub lic Works i , , JOB ADDRESS al~' aJ~- TO: NarE: J[),I))( WO.;.. - . ~~AA~&;; 4} /'{ , -- Phone 747-4221 BUILDING DEPARTllliNT PW -11 Inspector's Memo INSPECTOR /