HomeMy WebLinkAboutSpecial Inspection Occupancy 1996-11-13
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OeVCl.OPMeNT SOl vIers Drl'l1RTMCNT
OCCUPANCY INSPECTION APPLICATION
225 Flrru STREeT
SP/1ING~.I[L[), 0/197477
(51/) 726.3753
FAX (541) 726-3689
CITY OF SPRINGFIELD .
BUILDING DIVISION
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PROPOSED. USE: LJ~Jf.l'd ./p!errl' 4.J~ 1f"'J!cur
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME.OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE
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FOR OFFICE USE ONLY
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DATE PAID:/I..... I~ -0 ~
DATE OF INSPECTION:
DATE OF CERT!FICATE OF COMPLIANCE:
COMMENTS:
RECEIPT NUMBER:
.DATE OF REPORT:
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PROPOSED FLOOR PtAN REQUIRED AT TIME OF APPLICATION
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