HomeMy WebLinkAboutOccupancy Correspondence 1980-8-25 (2)
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OCCUPANCY INSPECTION APPLICATION
EXISTING BUILDINGS
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CITY OF SPRINGFIELD
BUILDING DEPARTMENT
DATE: ~J-l.C:...- )/< IS PO
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JOB ADDRESS: (7) l"71///AJ' #-
OWNER:&L~,At) tI. ~?~fu.X;
ADDRESS:
NUMBER OF ,UNITS:
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APPLICANT: II
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ADDRESS:
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FOR ACCESS TO PROPERTY - TELEPHONE: 7";,- f,P! 3. (o~("P7.!uJ 't. CU-i.,....c
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A $20.00 INSPECTION FEE IS REQUIRED AT THE TUIE OF APPLICATION
THIS
APPLICATION FORM MUST BE SIJlfED BY THE OWNER OF THE PROEPTY TO BE INSPECTED
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-' . .~~.., SIGN~tURE OF.' P..!)OPERTY OWNER
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Date of Inspection:
Date of Cert. of Compliance:
Date of R;port:
Receipt Number:
REMARKS:
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OCCUPANCY INSPECTION APPLICATION
EXISTING BUILDINGS
CITY OF SPRINGFIELD
, BUILDING DEPARnlENT
DATE: r2~,(.1.-- 1~< I~.M
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JOB ADDRESS: 97') l'"1'l'///~J H
OWNER:m(~/!f) iL::~A"j{t.,'t.] ADDRESS:
NU~IBER OF UNITS:
q 77 )'71't2J~/~
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APPLICANT: 1 (
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'ADDRESS:
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FOR ACCESS TO PROPERTY - TELEPHONE: 7?t-;"-//?/3,
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A $20.00 INSPECTION FEE IS REQUIRED AT THE THlE OF APPLICATION
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THIS APPLICATION FOm~ MUST BE SIGNED BY THE
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Oh~ER OF THE PROEPTY TO BE INSPECTED
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O~ERTY OlmER
FOR OFFICE USE ONLY
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Date of Inspection:
Date of Cert. of Compliance:
Date of R;port:
Receipt Number:
REMARKS:
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OCCUPANCY INSPECTION APPLICATION
EXISTING BUILDINGS
CITY OF SPRINGFIELD
BUILDING DEPARTMENT
DATE: a({?,./ 1...<. IS KJ
- (J f r-
JOB ADDRESS: 9 7 ') h/1 //./ AJ, # . NUMBER OF UNITS:
OWNER:!tt6Ad y. bA'~..tX; ADDRESS:_9 77 h1~~
APPLICANT: I (
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ADDRESS:
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FOR ACCESS TO PROPERTY .. TELEPHONE: 7%- /9/3_
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A $20.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FO~~ MUST BE SIGNED BY THE OWNER OF THE PROEPTY TO BE
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INSPECTED
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Date of Inspection:
Date of Cert. of Compliance:
Date of R~port:
Receipt Number:
REMARKS:
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