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Home My WebLink AboutSpecial Inspection Occupancy 1981-7-14 . .. . OCCUPANCY INSPECTION APPLICATION EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPARTMENT DATE, /I) --- l'l- r1 JOB ADDRESS: :;)//2_ 1J1 /l~./ 5ft;p.oI. OWNER, k/)j)';; 12., .K P 1111 ~+-I-. OWNERS ADDRESS: :.;- / / 2- /11&~ 'fdt~~_r APPLICANT, B Dt2 VIE <2-/7 P1 ~~ "t--c -::)"/ /2- '/I?~ ~'~rf-, NUMBER OF UNITS, ~ ~~ V APPLICANTS ADDRESS: ,.. " , . FOR ACCESS TO PROPERTZ - 'PLEASE INCLUDE TELEPHONE NUMBER: 7 2(;, ,- / i c; 7 ((/)~~), l~w~L L-o /Jv.::f-~_ tJ~ _ ./) ~ . ,,~./ '-- qOA.-O<--t:I.f /.>) 11 h /) /-IJ/j..Jfl J-I/1 0 all \ .I /)(/ <7 /' - ~~(J.//#MOJ?//JPj/ . / A $20.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM }illST BE SIGNED ~~Y~ TE 0 ER:;iO HE PROPERTY TO BE INSPECTED. , / 4 , E:/J' C"'.., '(.'4., i. ~_ ~ _ .//./V SIGMATURE oF' PROPERTY OtmER ________________________~Q~_Q~~!g~_~~~_Q~~X________________________________~ DATE OF INSPECTION: DATE OF CERT. OF COMPLIANCE: DATE OF REPORT~ <:::fA ~ "'Vl~ RECEIPT NUMBER: REMARKS: 5~qDG " .~ .~ (;:\-, ~ .~~ ~ ,jO \ 0' '( ..OD ,tV 1~ 'V --- '" .. . ....- . -'. ._........t-"""......."",;._.............._,~_"""J.........._ ". . . . '. ! r - ). .; - -,\ ,\ t " '. ! / \ \ I ! - -...... '------- -- - ""~ ..., / '- .