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HomeMy WebLinkAboutOccupancy Correspondence 1982-1-7 . . " ./ ~. e OCCUPANCY INSPECTION APPLICATION EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPARTMENT DATE: 1/?/cfc2J !, NUMBER OF UNITS: !-t~ ' JOB ADDRESS: 1/70 C057VQ7 N/1C/ / OWNER: 3 L./9C~.:S ~ /? e / 7 R'D J OWNERS ADDRESS: . //70 ~v S'/(j/?? Wfl-y LEAJ - S- /? J-."f. . ..... APPLICANT: APPLICANTS ADDRESS: , . ~ C;~ FOR ACCESS TO PROPERTY -' PLEASE INCLUDE TELEPHONE NUMBER: 7 ~ ~ ~ 7 ~ S S 7'( ~ - '-/2-0 cJ \ L)', W A $24.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER 'OF THE PROPERTY TO BE INSPECTED. , y~ SIGNATURE OF PROPERTY OWNER FOR OFFICE USE ONLY _~_________.:._______~~_________________________________________~~a__~__~~~_____ DATE OF INSPECTION: DATE OF REPORT: REMARKS: DATE OF CERT. OF COMPLIANCE: RECEIPT NUMBER: ~\RQC:S J l~l.-~ ~ #~ -:h ~P't!!/C7"- AO;7/~ "' pt?rp~.e >J "/l/J"},( or )-; '" e S - I nu./c,<..5 I '< I N+tJ rca.C -!-CJr I , k /1 r?ro;€ t IJ "}?"ees _ f S-r u e-/t-o J//rJGc:JrQ'7<!c 6'?-r,c("<;; IZ ' ,. , LLW2 () ~tJ ~qluJuLd ~ Ut0. oJ) ~~~ \\()