Loading...
HomeMy WebLinkAboutPermit Field Test & Inspection Report 1994-4-19 ;'1 -. ,. -- \~03tCO03~' HOUSING INSPECTION APPLICATION CITY OF SPRINGFIELD BUILDING DIVISION ::::~==~/;;=';~=======================================:::=::::::~==~~~Lt I ADDRESS OF INSPECTION: 3PAB MAPLE I SLAND ~ /2.1) OIiNER: (IT'-! or- SP/Z..j,.,k,FIt;;LD . -, -- OIlNER'S ADDRESS: '1/7_r::: ~fi1.~.,.-- PHONE NUMBER: Y..- ~ (p{(.p APPLICANT'S ADDRESS: lrL V APPLICANT: _~'^'^ '\'"d.WL\,1 r-0~> :::=::::::=::=::::::::=~~:~~:~~~=(:~~:r~~~=~~~=~)~2l A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OVNER OF THE PROPERTY TO BE INSPECTED. ---- ~ Ct{;t.~i( ('-A,;lq1. ~~kl~)I~ S~ATURE OF pROPERTY O~'ER~ FOR OFFICE USE ONLY ::::-::::~--~~-\~--~~------------:::::::-::::::~---r-~~-~~~----- DATE OF INSPECTION: DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: A-rr'l--1i==- '2-0- ~?So-9>1(~116