HomeMy WebLinkAboutOccupancy Application 1982-12-16OC CUPANCY INSPE ON AP
EXIS TING BUILD INGS
Taaqs'l
OF T'NITS: I
CTI PLICA TION
DATE:
CITY OF SPRINGFIELD
t2-\r.,-\?-
BUILDING DEPARTMENT
JoB ADDRESS: 8 S 3#"I M.A 7-tr ST
OTOIER:T tr-J
8K3 l'{o pOWNERS ADDRESS:
APPLICANT:
rH Z > (/lE LTI
o
APPLICANTS ADDRESS: 8 T 3 Mo R T Z I-t r
FOR ACCESS TO PROPERTY -PLEASE INCLUDE TELEPHONE NUMBER:
o
b -b5
A $24.00 INSPECTToN FEE IS REQU IRED AT THE TIMEOF APPLICAT IONTHIS APPLI CATION FOzu{ }ruST BE SIGNED BY THE OWNER OF THE PROPERTY TO BEINSPECTED.
FOR 9ETIqE-qq.E-gNL Y
DATE OF INSPECTION:DATE OF CE RT. OF COMPLIANCE:
DATE OF REPORT:
RE}TARKS:
RECEIPT NI]MBER:o tt{
to
l.l.ouj 3 54 T Ma,ru
Nril k: Nhh4lqolz fu.
;=-
TH
.(c'-o F J
t+
.l