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Home My WebLink AboutPermit Building 1983-5-31 (2) (rJ n\~~'7 r: \ .L" :..J ~3(-'~G COURTESY INSPECTION APPLICATION (RENTER'REQUEST) CITY OF SPRINGFIELD DATE ,'~ { ~ r \ ~ s ADDRESS OF INSPECTION BUILDING DIVISION I L{ i\' C)}j \ ~ik: (-W- D-- ~\\) OWNER Vc..\\E'-..l Lf\0e.S-\-t'\A~^\- ~~~Oe.\+'1C.5 'PHONE NO. \ ~ ADDRESS RENTER k \ ", C'l -\-W'l /\/...o..f\ SIGNATURE OF OCCUPANT (RENTER) , PHONE NO. /j C( {- :2 / '7 S (JJ)~,~ tuP~ l--.).- /J l~ " ' '~u-,-- . ~ '- ~,Ilt.)'1r'~ FOR ACCESS TO PROPERTY - TELEPHONE NUMBER Co.. "J \', -J : ") r" (', ^^; C'l \...vet? r ,0..)', \l.-. ('\ b .' SINGLE FAMILyD DUPLEX 0 HULTIPLE [g]' L eo... \;':, t'\ c. ,,~ C': + A C:> ~', c', +o-\\o~' c' ~' f O'~\o\~ ^-"- ,^ ~: \-.~ l..e " J ',U~ ^ +0 TYPE OF DWELLING: BRIEF DISCRLPTION OF l'--V\JOR PROBLEMS: <1 <(. -\-; c ('\ ~'=-~ ^ (- D '\:.'\ <? A _ .:. ~- ~-,::'j<-~ \ \' ,\J..S ':::.\'t',,,- - \..:):-.....,:::::;:,~.,-',c.... \, '^ , .- ~ , CS~"'~t~ C)-b-b~ C~~eG C,,-~ -2'):\ \'\", ~ '-, '6 '" \) \ '\ ~ C \::'-,>-. \" ~ ':0., ~ ;" l-- \ '. \~ \.~\. ~', '~ -~p I.. )~.. ,"c \::fy~:r.~:( e, \. l) ~ ~\~ \-~_~.... 0<- C1 ~ "'..,.;(' ~ ~~ ~~ C"'\\ \ "\ ". \.-{> _,...... r.....,.'.' " - \ '::.. '. \,.0.- '0", '<" r--.r""C":\.e (" \-e ~:.!\.. \", '",-~r.>j"""'('-\\ \~ ......~,~...".......P1"\ - \ '\ ...... cr~p A".~ n K ~"'" ~~",......r-". \'~r--... ~~ ~ '\.1"-.\2 . '- ~ -- \>r-r'b ~ r::- - ~t'~\. ... <::> ~>~.... ~"_' ~n:-- :}\ ,,\ "'-. '\-~ \~ 0,.Q.r::.:_"x D "-.), , FOR OFFICE USE ONLY "0 7'->.( " i..JC) i \ --- ----------------------------------------------------------~-----~---------------_._----- Date of Inspection ----0 - 0 - <t-\~ Courtesy Letter' Sent ,- \~ '1'\ - ,,'rr,s' Notice and Order Issued To Owner Date For Compliance Compliance Obtained - Date ~-(~'..~.\~(~.... \- '~~,Q-~ (\ - ~"{ f\ ':-:c~ \T-~;-__;\.. - \ 7? F ,r c/<f 1/5 t:: .D I ' r-. fO P..1 r ~ G:-~-8,~ ,./ - .---'