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Home My WebLink AboutOccupancy Miscellaneous 1978-6-14 . . ,'. , ... . . ~ ,. . I. :.;,' .';~ ,".. . '. , , .' ",. :~.":~; I: ._~A~..... .___~~_.'____ \:'; .If' , . ~.. . ~ ".. . ..."" ... ',,', . ..... ....;.........--.----. OCCUPfu~CY INSPECTION APPLICATION EXISTING BUILDINGS CITY 01' SPRINGFIELD BUILDING DEPAR'l'l'lI':NT " , ';'-:!.)', . '--"'1 , "J " J 1 ~. " JJI '::~' :;.~;. '. ;. . ~ ;....\';r~).,~'t. " 0'_"""'" "---'- ) 1 .( . , / ' . ~ .',' ~,;...,,'" l'.i, "i~~ j )~1.0" ~.t'- . '~"-O;'''~, :,...."1;, .. ,,' '1 '. \ Date: ~A-P /4( /q 7 c:j, . r . Job Address: /4-DL/- {J.I:h1~r. +~, /",tp No. of Units: __one o,,~er: :T).l/A~R~ ~ J-!;>J,4J 1J.1?f.--A.....u' Adtess: :2-.q'bl.;,-~/( -it C~.u-'<eI~' Applicant: c;;,'~J" Address: S'~ F'or Access to prop~rty - Telephone : /(:~-.fA.h"""'.1;.,,/.1! - 4:"O~--()7 <;? 7 Remarks: r7~( gf)~~ (t._~ -/(.~,--vlJt.M'~ ,R.J.q- d.-q~-O/9>7 A $20 inspection fee is required at the time of application. )(11I1S APPLICATION F0RH HUST BE SIGNED BY TIlE mINER OF THE PROPERTY TO BE INSPECTED. ~~ t j(i.1Y>:'/~/ S:r{;N/i'UURE OF PROPI::RTY Q\,NER FOR OFl'lCE US:, ONLY - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Dal:e of IIl5pCCtiOl\~ D"te of Corc: Dote of Repor;: ____ Receipt No.: