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HomeMy WebLinkAboutOccupancy Application 1981-4-13 . . . .. .9/07'57 OCCUPANCY INSPECTION APPLICATION EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPARTMENT *: " / DATE: ;/-fJ/~I' ( 13/ /"1~( . . U , ".--/G:2--r ~(4-;"" JOB ADDRESS: 1~:3 1- tf1o"lVl Ne.d'" (':Jvl~kj~o(J OWNER:---.:1':;{. f'r J:::: 8 veJctf-o.... ADDRESS: NUMBER OF UNITS: , /(,,'1-) Af}f</IV<\' APPLICANT: ~ AODRESS: ~ U 9102 w e I c:J->.-..<Z..c,.. ~~ /7Y'-/ I FOR ACCESS TO PROPERTY - TELEPHONE: IL~ v 4-1-- I"Vv, C:.fl.. \.f~" ;!t.4-.//l4f- , - A-.G.)< c(~ V/<-< A $20.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION '"'' ",,,,,m,, com,' .m" "' ""'" " Hili 01:e' ,"0""'" ro '" '''''mo - ,~,{~ ~RE OF PROPERTY -OWNER ~ . FOR OFFICE USE ONLY ------------------------------------------------------------------------------------- , , Date of Inspection: Date of Cert. of Compliance: Receipt Number: ~n?~ <Z >< Date of Report: REMARKS: 4- /3 - '2 ( 4 C(6 - \8b4 c~:3~nv J ~ y-f 1--"" o ICoW"",'l.( ~ ~9,r;j'-c.I;{.aj !2- ~~ 'r I~( /;?- U-'i e~ ) ~ ,n-, /!-f(:V~ 9?rc;; r I . f1( f<: e C) e (j y./IN' e. !' 34 . ~_ ,'-4.:.~_...:." " . ..~. ..' . - . . _' ._..,.. _0, _"