HomeMy WebLinkAboutPermit Field Test & Inspection Report 1994-4-19
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HOUSING INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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ADDRESS OF INSPECTION: 3PAB MAPLE I SLAND ~ /2.1)
OIiNER: (IT'-! or- SP/Z..j,.,k,FIt;;LD
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OIlNER'S ADDRESS: '1/7_r::: ~fi1.~.,.--
PHONE NUMBER: Y..- ~ (p{(.p
APPLICANT'S ADDRESS:
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APPLICANT: _~'^'^ '\'"d.WL\,1 r-0~>
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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
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S~ATURE OF pROPERTY O~'ER~
FOR OFFICE USE ONLY
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DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: A-rr'l--1i==- '2-0- ~?So-9>1(~116