HomeMy WebLinkAboutSpecial Inspection Building 1991-3-15
.:' . C I T Y 0 F S P R I N G FIE L D .~3>. .
Departm~nt .of Pl ann i ngan?~e~." r ~e,nt
B u 1 1 d 1 n g S a f e t y Dl V lS'l /
225 North 5th Street '
Springfield, Oregon 97477--
726-3753 (Bus.) 726-3769 (Insp.)
HOUSING INSPEC l'
APPLICATION
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DATE: fJllI/,{/{ /2) lo/'tJI
JOB ADDRESS: 509' -IlstO,e//1
I mmER: a:?{Tj~f /7. SJ-~/1se4Y1
I OWNERS ADDRESS: :243" Sk/t;,~ /<:/1/1- Er"/
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FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER:
Job #- q/ 02,( ~
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975'2J ~
APPLICANT:
APPLICANTS ADDRESS:
0/2 17'/c1~
~ i tf(;~ 931 :<..
A $35.00 INSPECTION FEE IS REQUIRED AT THE TIHE OF
APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE Ow~lER OF THE PROPERTY TO BE
INSPECTED.
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<::'::~TURE OF PR6P#t1 OWNE~<' "
FOR OFFICE USE ONLY
-----------------------------------------------------,--------------------------
DATE OF REPORT:
RECEIPT Nill1BER: I q L{ ~ 7
DATE PAID: 3--/2-1/
DATE OF 'INSPECTION:
~~:::S~ERTIFICATE OF COM~~I~;C:: II l~~J)\jJ 1 >ib {i, _
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CITY OF SPRINGFIELD
Depa rtment of Pl ann i ng an/d-Dr '~lopment
B u i 1 din 9 Sa f e ty D LvA., oin '
225 North 5th Street
Springfield, Oregon 97477:'
1726-3753 (Bus.) 726-3769 (Insp.)
HOUSING INSr ~
APPLICATION,
DATE: fJllI/'C'i', /2) /ctZf/
JOB ADDRESS: 5' 09 -I!sP,0/1
aid'idif! 'If. SJ~ /1S~
OWNERS ADDRESS: :243S- Sf'/t~"""': J?/I/I- !;:r"'J
APPLICANT: .t];:wi~k /J .s:jp-ffE?1S~/!
APPLICANTS ADDRESS: :JlfJS- 5/v/;-e l3/rx/' ;;-(.6A4~
/ / /
FOR ACCESS TO PROPERTY--PLEASE INCLUDE TELEPHONE NUMBER:
:job 4f- q { 02,( ~
Oi<JNER:
Of(
975'2J~
O/C 171'0: ~
~ 1t:f~-C;3~~
A $35.00 INSPECTION FEE IS REQUIRED AT THE TUm OF
APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE Ow~ER OF THE PROPERTY TO BE
INSPECTED.
..~~<~j
~TURE OF PROP~~ OWNER
FOR OFFICE USE ONLY
::~~ - ~~ - ~::~::~~~: ~ - - - - ~.~ \ ~~ (\, - - - - - - ~~:: ~~~ - :~~~ ~ - - r q-~-~; - - - - - - - - - --
DATE OF REPORT:
DATE PAID: 3---/2-1/
DATE OF CERTIFICATE OF COMPLIANCE:
cm1HENTS: