HomeMy WebLinkAboutBuilding Miscellaneous 1981-1-30
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~~~~~NSPECTION APPLICATION411
EXISTING BUILDINGS
CITY OF SPRINGFIELD
BUILDING DEPARHIENT
DATE: ~~/ fl
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JOB ADDRESS: /7 tJ Z. - /7 tJ ~ ~/:.v/f'~" L/J NUMBER OF UNITS: 2-
OWNER: p7~"4"~ /Jf.q~/;"f ADDRESS: -7.;".2- S~6!//tt!'< sT
APPLICANT: ...d"p~ ADDRESS:
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FOR ACCESS TO PROPERTY - TELEPHONE: a?/ /V t!/2-. -7 :2 6 - ~/' - .r?~,(/f e
e'd#,/-3;e hcP' --?'Ak, //1/ 4,o(/AWt?~ So _r- e'..-(?-'t'/
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tp /?7/'7,n~'r 7"tU 77#?A?-~-r.J h -'4- ~,?;v' ./....r' ~ ~_;-
A $20.00 INSPECTION FEE IS REQUIRED AT THE TUIE OF APPLICATION
THIS APPLICATION FORl.j MUST BE SIGNED BY THE OWNER OF THE PROEPTY TO BE INSPECTED
"~~0 ~~~__,
Date of Inspection:
Date of Cert. of Compliance:
Receipt Number:~~~/~
Date of R~port:
RHIARKS :
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