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Permit Building 1977-6-16
EXISTL~G BUILDINGS * " CITY'OF SPRI~GFIELD BUILDI~G DEPARTIlENT Date: (0 -{ lp ; , Job Address: .~/ i, ~ 1lA/1? Owner: /~. ~C"'I'\c., L.. c( . Address: Applicant: J?r;.pv 3.,,~1 ~' G,~rQ tJ(~ Address: 7 ,~--<: J1 ~ "" u , -;;? b - (q 5,7._ No. of Units: ') p. ( CJ ~'Z- -t evry{ rt \' , '23.0 -..r JJ' $..t -7 r l.\.J" Jil~ ~. V ' S'9 PI) ] For Access to Property - Telephone: Remarks: ? ( Q~ Q"C.-J<.V- T?c:r.tL, (sa.-, A ~~ ~:]V' ,-) t' ,n---. -!-u f.Y\r V1)-N'j'" A $20 inspection fee is required at the time of application. C ~/\ r-'hO(i)+ . v THIS APPLICATIONFO~I MUST BE SIGNED BY TI1E OWNER OF THE PROPERTY TO BE INSPECTED. I,' d (], 4A17A~/~/ SIGNATURE OF PROPERTY OImER ",,~.. -,'\' \;', 'I ......----' _, ,FOR OFFICE ,USE ONLY,' - ;.. ';;.. - - ... "- - .----- -- ----- . - - - - - - - - - - Date of Inspection: ,/ .. ?~-'-:'" :'pj ~~ '. Date of CofC: Date of Report: Receipt No.: lf~'~~::-~-' "::...;.:. ~_._..._. --_.-._~,--_.... ---- ,. - - ..- _d___' .."__