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Special Inspection Fire Department Referral 1984-5-21
'7 ~r<'. t . . ., I '1 ;,. e ~O359 ~.... , ;1 . t ~' ; . - J",. I . c~,>y~ me:- ~ ~~ &l,.c- ~<lrr ,7.?~,A::s7't.7 ~/7 OG->~ /Y~E' lv'#tE~/ y-.oc.J/f' /;YS-'pcC'/,-o."..,.- /5 C~;o<"~T~. L~N~ 5-<./-:B ~ ~ SPRINGFIELD FIRE DEPARTMENT FD-166/83 AJ~6,' ' '.. '--' TO: Electrical Inspector Plumbing Inspector Building Inspector INSPECTION REFERRAL FORM X, Date of Referral ..sJ;)../ /?t/ Mechanical Inspector Environmental Inspector Inspection Number 3!;"9;;J. Occupancy S'fl~J /, ....1 j} S/nok.., S;'''f Address //~L/ /l14;n.J ,n/... #- B EXPLANATION OF REFERRAL (~-V>-(/\LJ.. " I (>oJ (A-(J ~ &Cb~~ ACTION TAKEN (Attach copy of orders) rn"""'u1i/;",;, ,---v>""/.. .g ()Y '-1/..1: ;",t", /I/~/fr-'l By &..A, h1:/.,ft: /:7' Da-te 111'3/~J/