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HomeMy WebLinkAboutSpecial Inspection Application 1981-7-17 , . . . OCCUPANCY INSPECTION APPLICATION EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPARTMENT DATE: +r -/I-BI \ JOB ADDRESS: \ 0rt4 ea "V{AIN (Iaa \-' OWNER:_~ 1;111J"r'( ~ OWNERS ADDRESS: Q.J;() ~.A'I;.I~ .A" APPLICANT:~. 'MmJ APPLICANTS ADDRESS: pt) ~ ~~~b NUMBER OF UNITS: '2.. ~ ~'4~ Llh ts[,~~ FOR ACCESS TO PROPERTY -PLEASE INCLUDE TELEPHONE NUMBER: /ffi~(PQ,~'" ~ ~~ C~ J,,4Am\ . A $20.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM MUST BE SIGNED BY THE OWNER 'OF THE PROPERTY TO BE INSPECTED. ([1;;,-4, Ft'1a-/ ROllERTY OWNER . '----'" FOR OFFICE USE ONLY ---------------------------------------------------------------------------- DATE OF INSPECTION: DATE OF REPORT: DATE OF CERT. OF COMPLIANCE: RECEIPT NUMBER: .c:; log, L '/ '2.. L(O:<:' ~O~EMARKS : ~30) /Pe>>?Ot/(~ll/ Off}? 7;'(~r! /JJr'r/lj /)1<L'tt'c.. ;JleClf 05/J(I)<,/Jidh bokf'S) ~~2) IJ1.J1a(!;; Jf~(.{ndec! c//'C'tAJ~ to fJ,,,, bdJ,too)1, /'lhtf:~b.t';e oi.dld. ~~),J;,sl~/( J.. #/0/2.. w,'f:)Jtc<<'I',j/(.t1'~dbJ", t(!(.JJf(?i'Af'';)fz::f'" ~1) 1fe.'Map'e d/11ifX:,-di'!1J w"t~Y1.J. IH 12t/"T. Qr'e.!1. -lTef/;,ee, IV,t;' "?1"ol/'e.l evit""". ~a... /71d!1oj.,9 'f-e!t{/fll1e/t, - bd~(( 6<1d doot c:n.D-dnct'. (,j/..t ~t tJ,;st'Jo>1~ , .~61 Jnsta(( S'w,'tkeS' at ~f J'Y1d 6oft0>1 of S'td,'YUhJ'! f~>' !'7~t D~tl~ Si3ittU~'j , ~-'_ ~0' ~'!>1oJle) (!f r''/(J/17 rnd~!1 ~;)YlJe a,j dltef ocdlets ';'<1./ rcu/t;s r ' ~ I/ a/r- cClXd,'hoYlf:t(j) o>J'e. used - S'efeldte c/rcu,'fs "A~/( 6e. /l1sta.!/eJ ,d t/,r'S' f//J1('. -<.i'~~ f'oral'Y'c/T>1J/!fQnl"/r ai1Jl"fc>xttJ,<2,6dtt'c heat, , J ;I ~.J Ji,st~(( >14 less, .t/r;;rr..I:2,!J:A/Mpe v'e> Y= f'l(tlc,.:.J]'!U.!.~J!.1j'Jltfi<J.','ti1.j;:r,<l,if. .!)kJlt:l.eg,f..",,';' I. r lit) -8 ' (7) f)/SCdrp1"-ct ldlblC'c/r'_oS'~/ ct'J 'CUr 'f ) at ?J'CjlelYJe15'f.2f! t" <:0 de S'fd_l1dal'C/P, 0, IJ15t,,;f exteYTS/O-X .r/el!!t/es )n )'ec~c!e i)ICd .f't.<J, 'td tll/tldl:)(Jns vJ/teve. tJ,e 60X /J IX1Cf flcJU tt.e f?')1/'.t'ked J'l.1tTJCt' I 3 7tJ -/0 OJ) {J/~r17 ;;:c("nSCd e/ect;</l'Cl/ C~77t'r'J('t;.,I' 4,6e!lc;C{il'C),j (JESS..2.,2 -lltJ " I / / / / / , . .. I -- e . .u