HomeMy WebLinkAboutOccupancy Housing Code 1982-1-5
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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
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INCLUDE TELEPHONE NUMBER:
<...i 8 '-f )....2./ z..( / L.~" 17 '64
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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.
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_____________....________...._fQ~_Qff!g~_Y~;::~::_::_:~_:~:::-----------..
DATE OF INSPECTION:
DATE OF CERT. OF COMPLIANCE:
DATE OF REPORT: RECEIPT NUMBER: 5l83-0
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