HomeMy WebLinkAboutOccupancy Correspondence 1992-9-24
OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE:
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JOB NUMBER:
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ADDRESS OF INSPECTION:
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OIINER: J.1c....L:L) To \(!'.,,+men-l-
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OYNER'S ADDRESS: 2,566 f)nJ fI')()n+
APPLICANT:
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PHONE NUMBER:
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2/4
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:
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APPLICANT'S ADDRESS:
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PROPOSED USE: _/Vi e e.-J-, ~
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE
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SIGNATURE O~ ~JTY' MJER
-----------------------------
FOR OFFICE USE ONLY
--------------------------------
DATE PAID:
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RECEIPT NUMBER:
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DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS.