HomeMy WebLinkAboutPermit Occupancy 1982-12-15t\)DtJond
OCCUPANCY INSPECTION APPLICATI ON v
EXISTING BUILDINGS
CITY OF SPRINGFIELD BUILDING DEPARTMENT
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JOB ADDRESS:
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NTI}4BER OF I]NITS:L..)e
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oWNER: CSoh C nc -L t'o,t,t
OWNERS ADDRESS:
APPLICANT:
APPLICANTS ADDRESS:?o Gox \q.\ $e \o. O*. 1r q
FOR ACCESS TO PROPERTY - PLEASE INCLUDE TELEPHONE NTIMBER
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A $24.00 INSPECTION FEE IS REQUIRED AT THE TIME
OF APPLICATION
THrS APPLTCATTON FORI',l l'ruq! BE STGNED BY OI^INER OF THE PROPERTY TO BE
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DATE OF INSPECTION:DATE OF CERT. OF COMPLIANCE:
DATE OF REPORT. RECEIPT NI]MBER:
REMARKS:
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