HomeMy WebLinkAboutOccupancy Correspondence 1994-10-12
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OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: J/J/; j /9'-1
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ADDRESS OF INSPECTION: b50 If)/f::r Al
\OIlNER: PJtlfp ~~t /, PHONE ~BER: ~/;~7flp3
OIlNER'S ADDRESS: - ' ' tfJ.J: ffEtJ2-tJf, 'i/!tf1
APPLICANT: ~ le.k~ K:.D ~f[cr--r--
APPLICANT'S ADDRESS: C,/fo5 MtJ..~ At
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: 7~7-'I7"7.7-0Y 7-Jf,-18r:,6
JOB NUMBER:
9//5'7-J
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PROPOSED USE:
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SIGNED BY THE OIlNER OF THE PROPERTY TO BE
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
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FOR OFFICE USE ONLY
DATE PAID: /6?~ 2/5'f- ~RECEIPT NUMBER:
DATE OF INSPECTION: DATE OF REPORT:
DATE OF CERTiFICATE OF COMPLIANCE:
/5'C)~3
COMMENTS: