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HomeMy WebLinkAboutOccupancy Housing Code 1994-7-22 . .. HOUSING INSPECTION APPLICATION CITY OF SPRINGFIELD BUILDING DIVISION -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- DATE: (JuJu z,Z I Iff'! JOB NUMBER: q4\\~~ ADDRESS OF INS~CTION: 37-35 ~/d.r/M.. ~ttd Ol/NER: ~! ti/l~ &/fmpsit OI/NER'S ADDRESS:' I aIPo ~U1 Sf,.evj- APPLICANT: U/lM SrdfJlltA4'Oh APPLICANT'S ADDRESS: /3,,& &a.etL I PHONE NUMBER: 126-18'59 FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: 'lu~ (gSf -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE Ol/NER OF THE PROPERTY TO BE INSPECTED. ~ P ~ERfY Ol/NER -------------------------------------------------------------------------------- FOR OFFICE USE ONLY ::~:-::::~---f)~~~~--------------::::::~-::::::~---\2\f)~Z~----------- DATE OF INSPECTION: DATE OF CERTIFICATE OF COMPLIANCE: DATE OF REPORT: COMMENTS: '\ ,