HomeMy WebLinkAboutOccupancy Correspondence 1997-6-20
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HOUSING INSPECTION APPLICATION
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CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE:
&/.)0/91
JOB NUMBER: q~rA~
ADDRESS OF INSPECTION: I Q4/. II 1-aa1. a. 2it
OIlNER: 0t UuU'.e.l7:1 d~ ~cuJl PHONE NUMBER: bf'l-S?aO
OIlNER'S ADDRESS: 1'0 ~ 614hot. WaerlP. OK:.. q 7,!Od:!
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APPLICANT: ~R ~~ / J..1.l1e.. 4/21L:J
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APPLICANT'S ADDRESS: l~/J~~,oO Ao'f/-c:9t/608",. Cu..~ I ();C Q1(/Odl
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: to!'1~ 5:580/ P(fA, . ~4/ - 71095
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OIlNER OF THE PROPERTY TO BE
INSPECTED. ----
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FOR OFFICE USE ONLY
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DATE PAID: 1o.!lO q J ' RECEIPT NUMBER: 6lV;4(?J
DATE OF INSPECTION:
DATE OF CERTIFICATE OF COMPLIANCE:
DATE OF REPORT:
COMMENTS:
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