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HomeMy WebLinkAboutOccupancy Application 1978-6-6 " OCCUt.~CY INSPECTION APPLICATION Date: 6.-G~7& /,-3 L/7 .. I ~. ~~ 'il fi\ i EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPARI1-1ENT ... S JLfl lY-- No. of Units: one Job Address: C G;u TflV/V /-4 L 13Lrc,/ Ol.mer: - ,) r /n,~ A(_lc_ ~ Cor /S-nA /?/ Address: For Access to Property - Telephone: 7YG-o 3G9' t)~ I I , ., 77',,- VoCo (/PeA..> C;~rH6";Y ~ J i.. 1 ~~; l Applicant: AdJrcss: Remarks: A $20 inspection fee is required at the time of application. Knus APPLICATION F()'fu'1 MUST BE SIGNED BY TilE OWNER OF THE PROPERTY TO BE INSPECTED. Nlt('~ / ilL C ti c1LryL{lAu SIG~trnURE OF 'PROPERl}00\.JNER FOR OfFICE USE ONLY '""" '~. ~r'" r t Date of Illspcction~ D;Il:c of Co(C; Date of Reporj:: Rece ipt No.: , j{~~~~~;~>~:;;~~':: , '.' (~ ," I I: ~.' '. u III . \ '. " J I ~. "..,C,:,:::::: '?:"~";~~~{;~~;' :,"',j .!, .....t. ',~ ", ~ '<..~,'.~J~~~q.~::~;~j~~~" <:. :~~I~"'" .':: -/~i \'~"~?;~'>"'~':/. , ".., ",.;:,,;...,.;,,;,.. (~, '-'. "'i'l.. ..",' .'. '.?:::'1~'t:~~':>'<~>\~";"'. \"r..._ ..~,'.;.{, ',~..;.~:>;, . ", ~. ~ ~ , ,'\':2.~':: ~.','<:;i;'~,~7::,':"~:~': ;';"':';8'::::'~-~:;'.it'i:~;:':/':::~i~~~:,~' ,.'.'.'''-........ . ~ , " " . '. :. :1,...... ..v~\ '\.'-. j# .. '.~...1J. .. .....