HomeMy WebLinkAboutSpecial Inspection Building 1980-9-30
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HOUSING INSPECTION APPLICATION
EXISTING BUILDINGS
CITY OF SPRINGFIELD
BUILDING DEPARH1ENT
DATE:
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JOB ADDRESS:, 1:::>:50 S;'C/Z
OWNER: ' ~/?..--z'.7/!c' &2/,{)6-
APPLICANT: Q,CL !.t{;lft1C:'--;C
NUMBER OF UNITS:
ADDRESS: CJS--O /1.,( 6'-3, S/;:2//1/4'?/t.~2J0
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ADDRESS: /932 1J ,';,.. 5t-&~lk< ;::/ccj)
FOR ACCESS TO PROPERTY - TELEPHONE NU1vIBER /-I~c/<;'E /S ;//JC/t~T' - CCrJ'T/lC;-
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A $20.00 INSPECTION FEE IS REQUIRED AT THE TUIE OF APPLICATION.
THIS APPLICATION FORt-1 MUST BE SIGNED .BY THE OWNER OF THE' PROPERTY TO BE INSPECTED.
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SIGNATURE OF'PROPERTY OWNER
FOR OFFICE USE ONLY
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Date of Inspection:
Date of Cert. of Compliance:
Date of Report:'
Receipt Number:
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REMARKS:
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