HomeMy WebLinkAboutBuilding Miscellaneous 1994-7-22
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HOUSING INSPECTION APPLICATION
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: (JuJu 'Z:Z I Iff'! JOB NUMBER: q4\\~~
ADDRESS OF INS~CTION: 37-35 ~/d.r/M.. ~ttd
Ol/NER: ~! ti/l~ &/fmpsit
OI/NER'S ADDRESS:' I aIPo ~U1 Sf,.evj-
APPLICANT: U/lM SrdfJlltA4'Oh
APPLICANT'S ADDRESS: /3,,& &a.etL
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PHONE NUMBER:
126-18'59
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:
'lu~ (gSf
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A $35.00 INSPECTION FEE IS REQUIRED AT THE TIME OF APPLICATION
THIS APPLICATION FORM MUST BE SIGNED BY THE Ol/NER OF THE PROPERTY TO BE
INSPECTED.
~ P ~ERfY Ol/NER
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FOR OFFICE USE ONLY
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DATE OF INSPECTION:
DATE OF CERTIFICATE OF COMPLIANCE:
DATE OF REPORT:
COMMENTS:
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