HomeMy WebLinkAboutOccupancy Housing Code 1994-6-3
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HOUSING INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: 6' /~/q4
ADDRESS OF INSPECTION:
JOB NUMBER: 9101?2~''Z-
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OWNER: Be~jl S~'4v4-71~""~r4v PHONE NUMBER: 7d-b2b::S
OWNER'S ADDRESS: //:::2..t:J h/r{/r~/IJ Pro .::;t:'43 ;;r~'bjJJl tJv
APPLICANT: J?e--Uoi/-il g;,//~
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APPLICANT'S ADDRESS: ff~ h,:V6'r~r" Dr_ ~/f3 c;oj-r~bff. a
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FOR ACCES:; TO PROPERTY - TELEPHONE NUMBER: 72.h - b~
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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
INSPECTED.
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FOR OFFICE USE ONLY
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DATE PAID: /:~ /..z. /5'.,L
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DATE OF INSPECTION:
RECEIPT NUMBER:
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DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: