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HomeMy WebLinkAboutOccupancy Application 1982-4-6 . .. . ""'IIIIl . ,. OCCUPANCY INSPECTION APPLICATION EXISTING BUILDINGS CITY OF SPRINGFIELD BUILDING DEPARTMENT DATE: __Afild.l- to.!..i.x 2- JOB ADDRESS: ;278 7 (JLi,nf'/'- _ .~\~ NUMBER OF UNITS: !)AlE OWNER: t..f) Sin/ill OWNERS ADDRESS: " W UJ - /O/, ,S' APPLICANT: HI. Ke.uIAJ JJNM J-I.0J.1 'STU~// h~ ,-';p '7~ APPLICANTS ADDRESS: FOR ACCESS TO PROPERTY - PLEASE INCLUDE TELEPHONE NUMBER: GfAJ~7 (Pin VI. -+V' ,,- 5? 1-<' Y' A $24.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION THIS APPLICATION FORM ~ruST BE SIGNED BY THE OWNER OF THE PROPERTY TO BE INSPECTED. / f' If7 u. lriJ j/Jr /tvz- O!UIJ l.tL /7'1.- ----=-r --:7 ~ . . s'r~J. 1ft' Of' ~OPB TY OWNER- __ _ _ _ _ __ __ __ _ _ _ _ _____ _ __ E:Q!l-_ QfngL Qg~~-__ --____ - -- - -.. . -- --- - -- - -- - -- ----- DATE OF INSPECTION: DATE OF CERT. OF CONPLIANCE: RECEIPT NUMBER: ~'6~ 8. ~.1o}q8/d' DATE OF REPORT: REMARKS: ?...oo ?N'Y\ ~ -8-82 r"f'(\e.e.~ ~""'" 'Q\.)~~ ~, '.' ,." - .: