HomeMy WebLinkAboutOccupancy Correspondence 1994-5-26
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OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: 5"-2-6 . 'f~
ADDRESS OF INSPECTION: ..:>" H~ (2.t>,
JOB NUMBER: Qllo7r7
O\JNER: ~ 6;.IMLt14
O\JNER'S ADDRESS: I '2.. ~ l..J. 5t!::.. "Sir:
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PHONE NUMBER: <711 ct -~'il ero .
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APPLICANT: 'S1\1!i.A. (SoI\.J1A,;7
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APPLICANT'S ADDRESS: ~~ .
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:
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PROPOSED USE: ~~ ~rAr-r::. c.. a..~E:. ~ c:t::,c:::... J
A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE O\JNER OF THE PROPERTY TO BE
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SIGNATURE OF PROPERTY O\JNER
FOR OFFICE USE ONLY
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DATE PAID: &-)/I)o.A1f\' RECEIPT NUMBER: l A[y, V
DATE OF INSPECTION:
DATE OF CERTiFICATE OF COMPLIANCE:
DATE OF REPORT:
COMMENTS: