HomeMy WebLinkAboutOccupancy Correspondence 1995-8-29
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OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE:
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JOB NUMBER: ~~~71~;;,
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ADDRESS Qf' INSI'&CTIONI.1 ? .? '( J' Q <; ,.;Pr
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PHONE NUMBER: .7 2 6-/7 0 r
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APPLICANT:
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APPLICANT'S ADDRESS:
FOR ACCESS TO PROPERTY - TE~EPHONE NUMBER:
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PROPOSED USE:
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A $35.00 IN~rECTION FEE IS REQUIRED AT THE T~ME OF APPLICATION
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FOR OFFICE USE ONLY
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DATE PAID;
DATE OF INSPECTION:
RECEIPT NUMBER:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE: ." ..
COMMENTS: ~.M/t=/~ - ~f/l~~ ~~ 5r==-)".:?~ .:., :"
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