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HomeMy WebLinkAboutOccupancy Application 1994-1-3 . \~D3~\ o\lcC6 OCCUPANCY INSPECTION APPLICATION CITY OF SPRINGFIELD BUILDING DIVISION ================================================================================ DATE:j~~. '3/ /99'7' JOB NUMBER: ,?,Yo::-.-..."""" ADDRESS OF INSPECTION: :::Z-:;>2.::> ~ ~ . OIlNER: W.LAt~C~.~ ~r?pAl'.?.P. OIlNER'S ADDRESS: ~~ . APPLICANT: ~.~ .~~...o'.Z2Y- ~~~/r.:.. APPLICANT'S ADDRESS: ~ FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: ~- Y'b.- ,~ PHONE NUMBER: 7.:4'6- y~ - 4, ~ ================================================================================ PROPOSED USE: l;:f..;~~ 4..;/....~~ ~~~ ~~:...-.::::- ;:fr- 'P~JI!~'-'j~'.' .._>-- ;::;~--:~ ~~>> ;;;//?7~ ~~;(> .~~?"" ~ ~. r-.r-r- ., V 1-; __, -. ., '7 - #- // A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION ~ APPLICATION FORM MUST BE SIGNED BY THE OIlNER OF THE PROPERTY TO BE INS ECTED. ,~ ' -IG~~~IlNER FOR OFFICE USE ONLY DATE PAID: /-'5--'Y RECEIPT NUMBER: IIZ /"'3 DATE OF REPORT: Lt:115/Y<P AcT ~I//# ;/-?F</C#'#?;, i (5 : f/j/H/C/.#/f ~$- \fttP~~ ~~. DATE OF INSPECTION: DATE OF CERTIFICATE OF COMPLIANCE: COMMENTS: