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. ..
.....