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Home My WebLink AboutOccupancy Application 1978-1-27 ~ '. 4iiUPANCY INSPECTION APPL~CATION ~ EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPARTMENT Date: /-:17 78""' . \ 5'-r- I Job Address: ~ () L/1 J?//J-I,v No. of Units: Owner: rQ E- , /-J""'6k<-v Address: ~6/..-/7 m~ ;1\) Applicant: r;? E I I-I do Ke.. \{' Address: For Access .to Property - Telephone: o LV 0 e.." -::P,,"e 512 ;J'r Remarks: .. A $20 inspection fee is required at the time of application. ~ APPLICATION FORM MUST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE INSPE:T~~ THIS ~LyjrlkJ;. SIGNATURE OF PROPERTY OWNER ../ - - - - - - - - - - - - - - - - - - - - - - - FOR OFFICE USE ONLY - - - - - - - - - - - - - - Date of Inspection: Date of CofC: Date of Report: Receipt No. . " I,,~"',- '.. ~ -_.~';'; ,_'. . '"\<" :~ .;./:,;.."..:.....~.:,:i: ;::.. ~:>:.:;..~_..:.:,::;:..::.'....~.:.:.:~.:,~,:,';.~.~,...~.:...~,~.:.,;(.'.:,~~,~"..'~.~~~~~~.'( :.'.,":.'::.:.~~,"~.i.:....'~.:.'.'.~.'.:~:~..?~.~.~".:.,.:,~;....!"..":.~:,.;.~..,,;,,.~...:.~.~.;.t,;.~.:.,.1.i.{i:':" "::>/:~. ~'~ .., i . . .. :;'! ... . '. ' .' ...,',:~:.'.:'.i}<:;i!.F:\~;y~<:;;;;.f~;~)~;~~:E~;. .1 . . . ..~ .,". '" . ~"l.. ..}{~ '''''''l!1.! I.j;... ,,,'" . ,;: ~~ .' ~. .. . .:~ . \ . .:, ", .~. t:~"::~~'i:~ ~~:.:~ ':: , ,,' ~-r;: ..'::~'~~"_~~:::;:.~;-":;:~"f:~::~~;'::i~,::fi;~::~:.~':~:~~:7~'~=-~~:'.-':'::-:':~'~~~~~::.:- -:;:~:_~:'-,-:.: . , :~:- .:-~ _" _ '.-.,: :>~ '. ..:.~.---"-:--"" --~-":~;: ~ .' ',." ": .~)iA":'~~;~'''*\iJ.;\''!:.~'f.?,.;''''~k<:'';~:'~f;~;,;,,.,..'r.:'''1.'i:; ;\'(:'",".' ',.o,'"";;:.r":""*;~""""",,,,,,,':';' '.t:~. .""k:Y'"':o'''','%7::i''f::C'i.:f!:W-i!;.i'~~:t''' '-~~~~~~'~\;:~~.~~:i!~r:Ji~;:l~;,~;}~~~~~'z\~:~:::,;,.~,?t~~:~:,~~~;~~:)j:~~:::i:~;~~::~i~::'i':.~':~~)~;~:~~';:~r~~~~~~J}~'~;i~;'i~.~~~~~;~~;~~;&::~;t,~~~~i~~~~t:~ -. . _' ~,.,:,l.-":'".':H.'t",. .'< '.: ~ ~'~J~~::~~,~:~i>.:,~,:. ..: - '(': . ~..;.".,......". - . . f6~~~~~~~;:~~~~.:::t~:t;.~~;~~\., " '<':::~~;}~':~'::'~'" .~~:;;.:;:, "';." ". 4~..~,2-..-/l.1.f..~...~h~-~..........."..",....,"'............ .,-',_ .', ~.':'o'~:"""'. ~:,...~: .", ....~,._; .~:~.:' . '~,'_ ,.., if" ,).. _ ",'- "1"" "c'~ . , :,". .- ~ ~,' ~---- -"-~'--------~ ~-- - --,:,'. ,.:(,.: ~~::.~~-~::~~~::~~j;!;~:~~~t~i2~Z~:':