HomeMy WebLinkAboutSpecial Inspection Application 1993-5-19
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HOUSING INSPECTION APPLICATION \ 00iJ;353! {)7z[)'t.,
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE:
5/''1/'17
ADDRESS OF INSPECTION: L::7c:t:1
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APPLICANT: (/llJMlfL ~,~ . )
APPLICANT'S ADDRESS: ~'2,{)c. 'F.... ~j. ./!.! c:rr-'i\.<~pjJ *'~ '
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: 74J-1W<l-. "
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$35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
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JOB NUMBER: <9-=3'06"76
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PHONE NUMBER:
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OIINER:
OUNER'S ADDRESS:
SIGNED BY THE OUNER OF THE PROPERTY TO BE
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DATE PAID:
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RECEIPT NUMBER:
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DATE OF INSPECTION:
DATE OF REPORT:
DATE OF CERTIFICATE OF COMPLIANCE:
COMMENTS: