HomeMy WebLinkAboutOccupancy Correspondence 1996-11-13
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OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIEIJ>
BUILDING DIVISION
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DATE: //-/~-/(-
ADDRESS OF INSPECTION:
JOB NUMBER: q (j; 1(;47
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OIINER:
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PHONE NUMBER:
OVNER'S ADDRESS:
APPLICANT: bli tu 13x (..J~
APPLICANT'S ADDRESS: / Y'~d~v~,h J> V -j;.JrCFJ<...l-
FOR ACCESS TO PROPERTY.. TELEPHONE NUMBER: .2; /.,', 'I.~J~-2""-'J_JJ~.E::)k02.;>""'C.~ U
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS A?PLICATION FORM MUST BE SIGNED BY THE OVNER OF THE PROPERTY TO BE
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~~.~URE OF PROPERTY QVNER
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FOR OFFICE USE ONLY
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DATE PAID: ./9-//..96'
DATE OF INSPECTION:
RECEIPT NUMBER: -7.~~?~
,DATE OF REPORT:
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DATE OF CERTiFICATE OF COMPLIANCE:
COMMENTS: h-7"f :P//ff 4jqO ~~1.~~~,0>
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PROPOSED FLOOR PLAN REQUIRED AT TIME OF AP"PLICATION