HomeMy WebLinkAboutOccupancy Correspondence 1991-6-13
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OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD BUILDING DIVISION
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DATE: r91/~! ~.-"7 . . JOB NUMBER: q 10&'/9'
ADDRESS ~ INSPECTION: \~,31 /J1.IJ1II J ".
OVNER: 'u&ifJ G185JIII
OVNER'S ADDRESS: . 7/; / /j l f(/ q,
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APPLICANT:OA (/;j) G/!HJ;f/
APPLICANT'S ADDRESS: 7&/ /)), Ii! I"~
FOR ACCESS TO PROPERTY -.TELEPHONE ~UMBER: :;.rtjL~-- .~~
PHONE NUMBER:
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PROPOSED USE: jJ1tl ill ~ '<
A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
BE SIGNED BY THE OVNER OF THE PROPERTY TO BE
FOR OFFICE USE ONLY
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DATE PAID:
(p' /3J-2(
:)03 wj
RECEIPT NUMBER:
DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
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