HomeMy WebLinkAboutPermit Building 1983-5-31
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
DATE
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BUILDING DIVISION
ADDRESS OF INSPECTION. .I C( i) () )J \ ~i1:: ( ~ \ ~ -'F=\ \)
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OWNER
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ADDRESS
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PHONE NO.
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SIGNATURE OF OCCUpANT (RENTER) ,
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FOR. ACCESS TO PROPERTY - TELEPHONE NUMBER
BRIEF DI SCRIPTION OF MAJOR PROBLEMS: . .'. L. u, \--', ^j
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SINGLE FAMILY D DUPLEX. 0 MULTIPLE [gJ
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TYPE OF DWELLING:
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FOR OFFICE USE ONLY
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Date of Inspection
Courtesy Letter Sent
Notice and Order Issued To O\mer
Date For Compliance
Compliance Obtained - Date
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