HomeMy WebLinkAboutOccupancy Correspondence 1993-3-9 (2)
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OCCUPANCY INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: Jj]l1yr.h Cl,. /qq3
ADDRESS OF INSPECTION: ~3~J
JOB NUMBER: C1~~
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PROPOSED USE: ~_ aJ//J)()ri.na riJLi,
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OVNER OF THE PROPERTY TO BE *"
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S GNATURE OF ~PROPERTY OIlNER
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FOR OFFICE USE ONLY
DATE PAID:
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RECEIPT NUMBER:
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DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: