HomeMy WebLinkAboutOccupancy Correspondence 1994-8-16
I
-
.
.
OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
================================================================================
DATE: aI/HurT
I
ADDRESS OF INSPECTION: ~r2~ Ptlrl.(Jt..J
JOB NUMBER:
9~.z.'5J
OIlNER:
/JalJp2
(P()rC<
,
/.50/-' E
PHONE NUMBER: ~y- ~~
OIlNER'S ADDRESS:
/.5- T?
APPLICANT: 1''' VI /J Id
APPLICANT'S ADDRESS:
,ff US""/11 .
;
, Ftlfi/'#P
1
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: "'<;&:Y --.55-~-<? (/v/fl..h t:)#J7/#)
. ,
E (115//
/5~
.,j- II/leAl
E /s--r;
================================================================================
PROPOSED USE:
D-fl.(2 I ~ E'
- \f a (l.p -
A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE
INS ECTED. f /~ ~,/ ~
t~OP~6VN'Ef/~
FOR OFFICE USE ONLY
DATE PAID:
B--/~ ~l'f
RECEIPT NUMBER:
J4,?3J ~
c::~
DATE OF INSPECTION:
DATE OF CERTiFICATE OF COMPLIANCE:
DATE OF REPORT:
COMMENTS:
l,