HomeMy WebLinkAboutOccupancy Application 1979-12-18
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INSPECTION APPLICATION ~/J~_~, '
OCCUPANCY
EXISTING BUILDINGS
CITY OF SPRINGFIELD
BUILDING DEPARTMENT
/Z - / f - 7 or. .
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OWNER: .::r \0. Hcyoi-oJ
APPLICANT: .......T. u...... /+-f-"J
DATE:
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NUMBER OF UNITS:
I
JOB ADDRESS:
ADDRESS:
~90 J1Z~f.-J ~ -
ADDRESS:
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N rr:E IS REQUIRED AT THE TU1E OF APPLICATION
71'- ;L~o".
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FOR ACCESS TO PROPERTY - TELEPHONE:
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A $20,00 INSPE
I FORM MUST BE SIGNED BY THE OWNER OF THE PROEPTY TO BE INSPECTED
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SIGN~E OF PROPERTY OWNER
FOR OFFICE OSE ONLY
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Date of Inspection:
Date of Cert. of Compliance:
Date of Report:
Receipt Number:
REMARKS:
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OCCUPANCY INSPECTION APPLICATION
EXISTING BUILDINGS
CITY OF SPRINGFIELD
BUILDING DEPARHIENT
DATE: /Z - /f) - 7 '7
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JOB ADDRESS: - "';'0 ~.c-- /1-1-a:fIJ
Oll'NER: -X'\,.), f-{o-O-t-;j
APPLICANT: ...._T. Lt-. I+-t-"J
NU"IBER OF UNITS:
I
ADDRESS:
~90 /l?~jJ.s,-
ADDRESS:
FOR ACCESS TO PROPERTY - TELEPHONE: 71' - ;2~ (') t"...
,J-'I- OOll-L/
,------
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:wnEE IS REQUIRED AT THE TUIE
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OF APPLICATION
, FOR/.! NUST BE SIGNED BY THE OWNER OF THE PROEPTY TO BE INSPECTED
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'SIGNAT' E OF PROPERTY OWNER
FOR OFFICE USE ONLY
-------------------------------------------------------------------------------------
Date of Inspection:
Date of Cert, of Compliance:
Date of Report:
Receipt Number:
RH1ARKS :
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Jv ~/ CITY OF
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DATE:
. EXISTING
SPRINGFIELD
BU I LDI:\GS
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BUI LDING DEPARHIENT
/2.-/f-7'7
JOB ADDRESS:' -/ 0 ~ C- l~o.:;.J
OWNER: .:T'I..J. H<'OT~j
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APPLICANT: ,_T u.., 1'd-<--ot-o....J
NUI-IBER OF UNITS:
I
ADDRESS:
';090 /1?cz,,';-../.s,- -
ADDRESS:
FOR ACCESS TO PROPERTY - TELEPHONE: 71(; - ).,~ CJ ?',
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-------
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:JBNt'EE IS REQUIRED AT THE TIME
-----
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, FOR~.I ;'IUST BE SIGNED BY THE OWNER OF THE PROEPTY TO BE INSPECTED
OF APPLICATION
THIS
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SIGNAT RE OF PROPERTY OWNER
FOR OFFICE USE ONLY
-------------------------------------------------------------------------------------
Date of Inspection:
Date of Cert. of Compliance:
Date of Report:
Receipt Number:
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