HomeMy WebLinkAboutPermit Fire 1984-08-15OCCUPANCY NAME {Jt)cl-Ass
SPRINGFiELD FIRE DEPARTI,IEN"
INSPECTION REFERRAL FORM
FIRE DEPARTMENT INSPECTION
FD-t 66/83Jt\
T0: Electrical Inspector
Plumbing Inspector
Building Inspector
Mechanical Inspector
4a br//.,
Date of Referral
Inspe ction Number
0ccupan cy B^/
Address / 65 7 k
Envi ronmental Inspector
EXPLANATION OF REFERRAL
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ACTIOi,l TAKEl,l (Attach copy of orders)
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By
Date
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THE
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NUMBER
YOU ARE HEREEY vroLATroNs wrrxrx -3O DAYS.
SIGNED:VIOLATIONS: Noted
ABATED
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