Loading...
HomeMy WebLinkAboutOccupancy Application 1993-7-28 . ~l o:} 313] 05lf:[) OCCUPANCY INSPECTION APPLICATION CITY OF SPRINGFIELD BUILDING DIVISION ================================================================================ DATE: -;' ~ 2 <j?- 7'''3 ADDRESS OF INSPECTION: :3 21).( M IJ / It) JOB NUMBER: '731/?' 5 \' h~LO lJ OVNER: ,/. E/lJT/)tA~J PHONE NUMBER: 1 U - f? jtf' OYNER'S ADDRESS: /J 7,\ S 2-NP f,t,{iJ./ , APPLICANT'S ADDRESS: FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: 'iZb 1361'" ~ .~ ~ APPLICANT: J .. t;!:' /=l SIlMIl: 19.5 ~{JIW(,. ===================================================c============================ PROPOSED USE: (U~ eb C fiR- ~,"'U"..s A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OYNER OF THE PROPERTY TO BE II PECTED. ---- . cP0_ SIG URE OF PROPERTY OYNER ~ ---------------------------------- FOR OFFICE USE ONLY --------------------------------------------------- DATE PAID: 7-<~- <;3>-::;> DATE OF INSPECTION: RECEIPT NUMBER: 9.h'..€<r a"Z>... ,. ,. / r-- DATE OF REPORT: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: