HomeMy WebLinkAboutSpecial Inspection Electrical 1986-6-18
COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
*c[lP{)9L1~&
-CITY OF SPRINGFIELD
DATE s;:.. YJ -(?, R> - /qJ? (;
OWNER ~~lrY1 b; he.c:I gee.. I f~, - I-Ie Je- VI l-IocJ 8 e.!; PHONE NO. L-( FS- d'7 L5
ADDRESS 16)CJ (:)6... k L.('(j"',I/I () ~ (]t'e~.;<7h <];l.-JCJ)
RENTER, [)o.l'sl.^ X0U IYIj~{/ , PHONE NO. ;1/ /-03ey?)
SIGNATURE OF OCCUPANT (~NTER) \6 )a.Ll.Jh t1 /7..A ll1A{J~
........... ?/
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER I /- t5>3~t/
~UILDING DIVISION
ADDRESS OF INSPECTION S/2)l-j r~/u.f' h~ J/~ WQ\I
- I
'"(
TYPE OF DWELLING: SINGLE FAMILY D DUPLEX l;zJ MULTIPLE 0
BRIEF DISCRIPTION OF MAJOR PROBLEMS: )/!)}.,j/'j' ;lI', ~ h;t;..):' hl"',r/ T()C)f1/} r
9C, }/ar,< dt')l/)~ j/ \ ,J c!)Y'" j( ,. rn II e ~ J. G.. V\.J I dr J Ih 6 u :J (- Yh
. J ) t-d<. ..J I
S',.?w-e:' nf/V rlD r..A P (')(.1 f/ YvI{J.2 {., -((6 hu..r ct,'r-l ~F; ~ qtFJ 50 IA/\~ 011 e
~ fA IIV-...-( d'V\. .r 'Ne ~ r CCJ a 1/1 c! _< ./le // (" ()VI I rI VI ,// F.' 'f... .' 1'. ~ \~C(~
VdlJ .Y~o-f C;/,')f/\.! nV'ti Wc1rA IrI hI"" ,')L< Y /d f'-x prob},.,tv-. nV/-r
Y\CiI d",,"-{' ~I' 2- ( 6 n ,.f -1.5'"" ~1~ <;. ~jt.-- W : r-€. C b\.{ I/' ~ " Y'J Y ;'^":_ t"",,!:J~
/e; lA d /.1 V' J k' 1/1 <0 v:>s
; r .-f'd
FOR OFFICE USE ONLY
--------------------------------------------------------------------------------------
Date of Inspection
Courtesy Letter Sent
Notice and Order Issued To Owner
Date For Compliance
Compliance Obtained - Date