HomeMy WebLinkAboutPermit Application 1991-08-18fl
IIOUSTNG TNSPECf,TON APPLrCATTON
CITY OF SPRINGFTEU)
DATE:K - /? -7/
BIII.DING DTUTSION
JOB NUMBER:lto 777
?ADDRESS OF TNSPECTTON:
OWNER:
OIINER' S ADDRESS:
APPLICANT:
APPLICANT, S ADDRBSS: ,/?A nzs/L5&;n E lf:,dz.-€ ?
FOR ACCESS T0 PR0PERTY - TELEPHONE NUMBER: 7 -//5 z
7
THIS APPLI
INSPBCTED.
A $SS.OO INSPECTION FEE IS REQUIRED AT THE TTUE OF APPLICATION
CATION FORM MUST BE STGNED BY THE OIJNER OF THE PROPERTY TO BE
URE
FOR OTTICB USE ONLY
DATE PAID:I -zi -?l
DATB OF INSPECTION:
DATE OF CERTIFICATE OF COI,IPLIANCE:
.)
COMMBNTS:
RECEIPT NUMBER:
DATE OF REPORT:
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/U D E; -.,L 1t L-t. L lL I L1 CC
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CITY OF SPRTNGFTEIJ) BUTIDING DIIISION
================================================================================
DATB:K /r -7/JOB NUMBER:1to ?71
a ?
PHoNE NUHBBR: 74 6 -//<Z
ADDRESS OF INSPECTION:
OI.INER:
OIINER'S ADDRESSZ SI*/rZA
APPLICANT:
APPLfCANT, S ADDRESS: ./fAS sef lo O 77qz z
FoR AccESS To PROPERTY - TELEPHONE NUIBER: 7/A -/15'Z- Slr"^
/4%fu2
THIS APPLI
INSPECTED.
A $TS.OO INSPECTION FEE IS REOUIRED AT THE TTHE OF APPLICATION
CATION FORM MUST BE SIGNED BY THE OIINER OF THE PROPERTY TO BE
FOR OFFICB USE ONLY
DATE PATD:
DATE OF INSPECTION:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS:
t-zi 4l RECEIPT NUMBER:
DATE OF REPORT:
'Zl r I "'-
EOUSING INSPECTTON APPIJC.ATION