HomeMy WebLinkAboutSpecial Inspection Miscellaneous 1980-9-29
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CITY OF SPRINGFIELD
EXI STING
BU I LD U\GS
BUI LDI_PARH1ENT
1001, 'L
JOB ADDRESS: "/3:2 7'
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OWNER: -rJ.?fCE(?1 Q II.. C .::J{)tiJJ9) J ADDRESS:
APPLICANT: /{~llJA. {:!.JiN I\DDRESS: 22 yD
FOR _ A~,~yS TO !ROPERTX- -- 2ELEPHONE: 1> a~ tl -'^-. .!'/1^--;'.P /f
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DATE:
;,U~IBER OF UNITS:
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A $20.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORl.j MUST BE SIGNED BY THE OWNER OF THE PROEPTY TO BE INSPECTED
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SIGNATURE Or PklJl'CI):9'" OWNeR
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FOR OFFICE USE ONLY
Date of Inspection.:
Date of Ccrt. of .Compliance:_
St+-7CI(/?
~eceipt Number:
Date of Report:
REMARKS:
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