HomeMy WebLinkAboutOccupancy Correspondence 1994-5-17
r,/
.
.;'- \'\ tJ()cm OL\C5\
OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
::::~;;;;;;;:;;~~;;~;;;I;;;;;~;~~;;;;;;;;;;;;;;;;;;;;:::;::::::~;~~C;~~;~
ADDRESS OF INSPECTION: '3950 *,rrTII~ Y,J Sf~//v&h'cLjJ
OIINER: tyJ IfL 605)5 i lJ
OIINER'S ADDRESS: / f'5 f CII..€-fl!...
PHONE NUMBER: 7~6 -5''j)/~
5flf//l/6 A-f-t/J1 0/2-
aJl.v t)>dL~_ ,
t/
APPLICANT'S ADDRESS: @bS'" if J II T!-
( B,,,, fz LUg,,.k ~ )
APPLICANT:
'" <- E v<'i€.'",,- . Dr 3'-/-3 -Ie, f7'j
. . 97<j.O.z-
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: C4t..L CI'1Ri' J/f57Fld /'1/
cl!IIaLtf5 {,f{./C.II IjQ/1t. $.:5/,<r7/i:. 3L/2-~N3C:, &'/ b~3.'"-/o6S- o-r
;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;;~t;;22;v~~;~~~;?f~;?~3;l~/;;
PROPOSED USE: f PW IJfil2- {? CJ/t T ;"v b
A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OYNER OF THE PROPERTY TO BE
INSPECTED.
~URE (iF PROPERTY OlJf.II,:R- ~'2 / LM~A~
----------------------------:f-~~~-~~~~~~-~:~-~~2-----------------r------------
DATE PAID: 6-17 -ql.f RECEIPT NUMBER: \~?-D \
DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTiFICATE OF COMPLIANCE:
COMMENTS:
~