HomeMy WebLinkAboutMiscellaneous Correspondence 1982-1-11
/-1I~2
----
.
_Je'iK'ff~e>~ _ _ _ ____.___._____
/ -r~?bflA"''''' ??Ee/_"'-~__ _ .
.-~r~'~ =-~-_~h _ _ _.. __
,4~.II~ - ~H~'" _ ?~~61- k~.. .
F ;Zd~C.!: ~"_;;:")1f_ Ifr-~~?_ _____
~ ./lIo - ?.fh'...~)V'r::._r~/~t'7~~ _
.P . /i>"''''R#/~~nf nG/~ ~.??-~
e _ 'f 4-""~;' #~~/4- :> '
. - "lA:/#/L. ~o~ -~ C?~I
. 117' ])/Ji'7 r~.::f> -. 7
. ~-:_u&"'_~#.~_A -r., -. L. .. . ..
l I -
. ~if~~4~(.... Ymo..-- ~r>.
<'0,/4;: - #~ R/rd? W",~c..
P~Z--Ci!- "9' n"~ L b,6..
.~
.:
130 07U
aUd~
.
~32",'T'/ .
<Sc93009
OCCUPANCY INSPECTION APPLICATION
EXISTING BUILDINGS
CITY OF. SPRINGFIELD
BUILDING DEPARTMENT
DATE: . .J -/1/ - J' 7
JOB ADDRESS: :F/;77 -'""?Q/'~
. NUMBER OF UNITS: ,/
OWNER:
./J4-h ,/;'" A/".J""'"
.. OWNERS ADDRESS:
APPLICANT:
APPLICANTS ADDRESS:
:?r..r ~ -?J.a'
. ran...... _-"" R'~~~
FOR ACCESS TO PROPERTY -' PLEASE INCLUDE TELEPHONE NUMBER ::;7.?c, - /".9:77
A $24.00 INSPECTIQN FEE IS REQUIRED AT THE TIME
OF APPLICATION
THIS APPLICATION FOID1 ~ruST BE SIGNED BY THE OWNER'OF THE PROPERTY TO BE
INSPECTED.
. 4~~ ..'
SIGNATttRE'OF PROPERTY OWNER
FOR OFFICE USE ONLY
-----------------------~----------------------------------------------------
DATE OF INSPECTION:
DATE OF REPORT:
REMARKS:
DATE OF CERT. OF
RECEIPT NUMBER:
COMPLIANCE:
(LJ OZZ7 !/-/{)-6:J,.
I
I
3l I