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HomeMy WebLinkAboutSpecial Inspection Application 1989-5-9 . . ;;#-8CJot/3(P COURTESY INSPECTION APPLICATION (RENTER REQUEST) CITY OF SPRINGFIELD ?-If'f- '2-- 7/2.. BUILDING DIVISION DATE 5 - q - ,>29 ADDRESS OF INSPECTION J/5{':? \,J, VA\hx\l)" oJ >r-.;2. OWNER 30~(\ k 0 ~I ( ; II J PHONE NO. LjgL.-! -- 5~gg ADDReSS /9 (p S ~~....3 (j1Jv -;; I ;~r~5.J'\_q .: () rc.. RENTER 'R i cJz.r- C;.j I,d i:5 D I' (e... f I ' SIGNATURE OF OCCUPANT (RENTER) ~~_~ 71 , FOR ACCESS TO PROPERTY - TELEPHONE NUMBER. 7'1? ~ 7 02,;;) I \.....)0\-"'- I<..o...v~ PHONE NO. 7'-17 -, ') Co2.:J f\1zS.so..je. \,\-'0" "-.'73 \ c.. I<.. ~.------... TYPE OF DWELLING: SINGLE FAMILY )gj DUPLEX 0 MULTIPLE 0 BRIEF DISCRIPTION 0; MAJOR P;ROBLEMS :~O---U:Vo-O ~ L-e-..i !t'l'I) 0\ I 'Ss ~~ o...bo\.fe.. () u..A- -\-0\ \~--t. Up'Sto.VlL) ~ kbOl.-C) +-0 ~-+ p~ S-1-pO~t -Th ~. Lc,,-~&Iln-cl ~ ~ 0..10 ^~ 'D G,--~k ~A) b$ +0 S~.p' Lf JvCIY\ dv';'P p~A"q 0 VI lA.S fa 1,J- ~ '\ ,) r (j J i U I il \.-..os_J''uL -, o<:..-~ UJ~ 0.- '~~~.. O'vJ'-... +0 ctd ~CLkJA 0- ~w "" " _ -< 1''>-<'-11:) P V-d.cl "- ~~ ~ ,y 0 lA.A.. wo...-L"- +' : ,.Q-"XR. CIAJ>... .A.df ~"\ ~~ -Y W.-€- c." ,';"'+ S'>.d- ~ ".~ tk~ cd-. "'-- . ~&.L.-...&. p-""''''; 5~ f 1'0 " L K_Jl...,\fe..-f' \.ft~S./v'\("\ b lA....-T W'Q_:~'~~\ l I/" ~ &.. + J~A.~ ~ y \L~./\.....~ / I ' ) ,J' J <J & - te; -crSJ Lfrc'f--- z:; 2.-P~, , , '~;:?~ ~'> ,L:~~:,~~" I FOR OFFICE USE ONLY ------------~-------~---------------------------------'~---~~-------~------------------ Date of Inspection Courtesy Letter Sent Notice and Order Issued To Owner Date For Compliance Compliance Obtained - Date