HomeMy WebLinkAboutSpecial Inspection Application 1990-12-27 (2)
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
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CITY OF SPRINGFIELD
BUILDING DIVISION
DATE
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ADDRESS OF INSPECTION 50(0 fA J. Cpn l-ei1l?;aJ 8/vd. IIff, d ?9
PHONE NO. 'jLJ/- ,:nq(o
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PHONE NO.
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SIGNATURE OF OCCUPANT (RENTER)
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FOR ACCESS TO PROPERTY - TELEPHONE NUMBER
TYPE OF DWELLING: SINGLE FAMILY [] DUPLEX [] MULTIPLE ~
BRIEF DISCRIPTION OF MAJOR PROBLEMS:
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FOR OFFICE :USE ONLY
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Date of Inspection
Courtesy Letter Sent
Notice and Order Issued To Owner
Date For Compliance
Compliance Obtained - Date