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HomeMy WebLinkAboutOccupancy Housing Code 1982-1-5 . ;. . HOUSING INSPECTION APPLICATION EXISTING BUILDINGS ~CITY OF SPRINGFIELD DATE: (_. '5 - '1S'l.-- JOB ADDRESS: 77<' ) 77~ c./ DckRI<rA.(:.. NUMBER OF UNITS:/ OWNER: R ~ u C.E- ..[ I ~ g 'tP- OWNERS ADDRESS: ~47u (4,e,A:r M~ADoUJ<;: BUILDING DEPARTMENT APPLICANT: <AAAE- APPLICANTS ADDRESS: FOR ACCESS TO PROPERTY - PLEASE c.4 Ll f->1i?.v...C-r [IS h G I?... INCLUDE TELEPHONE NUMBER: <...i 8 '-f )....2./ z..( / L.~" 17 '64 ( A $24.00 INSPECTION FEE IS REQUIRED AT THE T1ME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPE TO BE INSPECTED. ~A~ _____________....________...._fQ~_Qff!g~_Y~;::~::_::_:~_:~:::-----------.. DATE OF INSPECTION: DATE OF CERT. OF COMPLIANCE: DATE OF REPORT: RECEIPT NUMBER: 5l83-0 REMARKS:aJ~ ~M-~r~:t' ~ /L (J z..~tA- ~e I. ','. ( '. ~t;"-~~ 1/Lrwj ~r/~ ff.71~ If ~~ ,