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Occupancy Application 1978-5-2
" ar;.. .'" " OCCUPAt\ LICATION Job Address: Ow~cr: f.tJ Applicant: CITY OF SPRINGFIELD ~/0)? If<.CZs-' If~ +er f1 e,y- ee~ ~A.A BUILDING DEPAR'l11ENT q , , J .' :..3. ,. ~ EXl~~LNG BUiLDINGS .Date: .. H kL .. No. of Units: ~one ~~;_ Addrcss: Lf3C),)" /tJ-J-e),-- rei n... .p Address: ~ >-... ~ I t "" i ~~ For Access to Propcrty Rcmarks: ,f]') u.{J Il:-JC. - f -Telephone : J tJ,i- 4- P,:r,~ '- X~ . &,f!/r;J:n c:.. )e,;;iYC. A1€:c;5'!'-B_e ~ q/JJr~Jt"'-Wif1~~e.' ~1 -'J/1r::J' ..-C - 1)t.J 4& r-l ~-J/e- f, "1 " ~ 7J "' "} .. I i:l ~ 't ~ A $20 inspection fee is required at the time of application. KTI1IS APPLICATION FO~~ MUST BE JY"NED BY TIlE OW'lliR OF THE PROPERTY TO BE INSPECTED. ;~p ;)11. {~~_c 'c'/ !#lr:;;/OF ~TY m,ilER V .jjj", ~ - - - - - - - - .~ iJ \"f' 'l,i,' , - - - - - - - - - - - - - - - - - - - - - FOR OFFICE USE ONLY Date of 11lspection~ Dilte of CofC: Date of Report: Receipt No.: ,." ~I. ~':'~"';\""~"'}':;' i..' . c, . :.(;.... ..... >'.' ".' ".,'. "<.,. ',> ',.. .' '" . ..('.~.~.\: --" "4'.\,. " ~') ,'", v . 'J' . .' ,,:,)j::;f:!'.'~.:\:~; ,.!:'; '.,: >.^-,. ;.,<...:....:.... ;.:'. :: ,:'.:' .': .:" .::. . " ,. I ......., .,. '. ," ;, ~. ~ ,., .'T , '. , :.. J, . '.. ,'J.( ~,.. . > , :;:<":, ~:':. :.:,:....; .f.::::\:J~~~~:: :.;:0~~~:~irz:;:,:'t~:,i~ty;.;<' :;;':' '" . : ',/..:~:..,;;:; ."".' . ::;,~,~.\:;~,~.~.~' ..;.>';::~:/~>.<;:,' :.~j::,~,'>:,.;..:.::~:'<:'.,\~~!~:,;.:>~~~>~.;.~'~/~>~<~~~\,~F:~~:.:~.;~~11t:..,' ~ .~' '':''ll': .' ~ ,,40,.... ;.:, '..... ~f1 . " ..~. '. ~ ~. ... \.,\...A, 1f -'''''1; f;' ,:, . . . .~ " ~.