HomeMy WebLinkAboutPermit Occupancy 1994-03-171-n -\1D33eS4035
OCCIIPANCY TNSPECTION APPLTCATTON
CITY OF SPRINGFIELD BTIILDING DIVISION
-11 -4 4o>41DATE:
ADDRESS OF INSPECTION:i4g /v' / ,lrn gn,!
JOB NUMBER:
0<'
oIINER, ?*^-L Sco-tt pHoNE NUMBER: 14b-18(
OI.INER'S ADDRESS:#
Shdf 'r.s {fo- DcteK n\ba."LL-APPLICANT:
APPLICANT's ADDRESS, lq b i'r' tt\*L
1.lk- ?zzo {L.*^ }rnFOR ACCESS TO PROPERTY - TELEPHONE NUMBER:
PROPOSED USE: Tl\)
A S35.OO INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OI.INER OF THE PROPERTY TO BE
I
Iry SP
FOR OFFICE USE ONLY
T\11DATE PAID:RECEIPT NUMBER:
DATE OF REPORT:DATE OF INSPECTION:
DATE OF CUNTIPICETE OF COMPLIANCE:
COMMENTS Z
c\