HomeMy WebLinkAboutSpecial Inspection Application 1984-3-28
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD BUILDING DIVISION
DATE ~/;;8 /81/ ADDRESS OF INSPECTION .t./88 Y (' OydoJH'U nl *B
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OWNER ~h.n, l<~_ PHONE .NO.-.:!jiL/. -6Jf{g
ADDRESS Jqto~ y~' ~
RENTE~MJ/bjls 4 ('~ c!fi1f11.tky PHONE NO,
SIw~ATURE OF OCCUPANT! (REN~~~ ~ ~
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER /
- 7;;)M- '1017
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TYPE OF DWELLING: SINGLE FAMILY [] DUPLEX [] MULTIPLE. ~ .
BRIEF DISCRIPTION OF MAJOR PROBLEMS:Jflj...ef!itu~ wlA.h:J ....~~Cj/ d
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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