HomeMy WebLinkAboutOccupancy Correspondence 1979-11-16
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OCCUPANCY INSPECTION APPLICATION
EXISTING BUILDINGS
CITY OF SPRINGFIELD
BUILDING DEPARnlENT
DATE: .J/ j/h,/7;P
JOB ADDRESS: ~.5 /) v-"'?1/'9;'W NUMBER OF UNITS: I
OlVNER:d1~-?t/)',p ,/(dcc?1-5~)) ADDRESS: c...-'"1--S-7/'? NI(f'jp~ 5-/..
APPLICANT: ~~.r.? ADDRESS: ~/) J7)J(J/I}/
FOR A~CESS T,%PROPERTY - TELEPHONE: -;17~ ~~-'71"
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A $20.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FOR/.1 MUST BE SIGNED BY THE OWNER OF THE PROEPTY TO BE INSPECTED
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~Rt~OPERTY O\mER
FOR OFFICE USE ONLY
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Date of Inspection:
Date of Cert. of Compliance:
Date of Report:
Receipt Number:
RHIARKS :
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CITY OF .INGFIELD
APPLICATION AND RECEIPT
. CITY LICENSE
License Period Endin']
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Date of Applicati~r
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I~Renewal
NAME OF BUSINF<<
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B'uaIN~&& AOORDS&_. i.. '(". ,L4~ ;.d .:';;.L
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REMARKS
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Received by
LICENSE APPROVAL
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Dopartmon1 Hood
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New license
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The above application for City license has been examined and is hereby
approved,
Finance Director
IlIUGGS-PlUNT
Date
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