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HomeMy WebLinkAboutOccupancy Application 1984-9-14 . . . " () a rA pd. ,y\(~- Y COURTESY INSPECTION APPLICATION (llf:rJ1'ER RE~MES'f) CITY OF SPRINGFIELD BUlLDING--DIVISION,.. - DATE 9-1'I-"i?-'I C/ ,I J. A' I $I ADDRESS OF INSPECTION ~07 AVe.t __ OWNER U/, ,/f,~ 'W/,:;,-"" ~ ,-,---' PHONE NO. ADDRESS /Koo r...... ",;""",d I RENTER PHONE NO. ------- , SIGNATURE OF OCCUPANT (RENTER) FOR ACCESS TO PROPERTY - TELEPHONE NUMBER 'I'fr'f-t,Q 11 cff" 7'17-2 7lj~ r;;~ ""se) - TYPE OF DWELLING: SINGLE FAMILY 0 DUPLEX 0 MULTIPLE D BRIEF DISCRIPTION OF MAJOR PROBLEMS: el[:CTR'!CAL;--- - / ~.-.'~ve/"""ove 11'1'. /'/',...t, ,d.f ,,~+'.,i~ ;/';>"R~b~:;;/l",:'t~~~.-(j,Q~t''-:;;-;;;:'d-;;lu-~:'''~) l!....,,'t.--rlt,'... c"v,h "'.... I."",t~...~ CiLofl h'u.,"", , sA"'7i~<.Aia......J Cause t:,~", 2 ~"o...I':f1;...,,..,.,.,,,aJY!' 'ZL/~fed 0tb.J... ~--,,,' ~,,'(I..{,':"',~af.. rho'}, l,,<t:z.a:fds a.....J (J.,..ct Co?1d",cto-o. 3, R",......ev-e c"'-Id 4!.-vr......,,,d I"",.t 1..,,-./, ,..cfl...rs ll-Y\J ,.."f"IIa.-PPrDVl?dS-pa/s />'1 fA"" I'lP........../,,,/es, ..AI..f,;~ .J.... ",lectoy'elLl r~~t.:...,t.". lAJ,'IIIoO#.....~"-/....,j 1" j" tI,,,, IAH''''/o{ ,.,Iu~l. .~"il '.....el...;P oI'-e-oy;y""t;;.,..... Dr 'f.->,y;'c-e .e'fL~';,_-R-.1.f "..f.laL',t", ro- C-c'P''-f 1/".., P.,.oPosed load FOR OFFICE USLONLL_.. -------------------------------------------------------------------------------------- . -- . D~t~ ;f Ins~ec~-i~~- '77;;7'8'; J,:.....-JuQff'.~......T/);r,; ~;/(i:;.:'-::~/;_;t_7,::.-i'r-:J--;;.'?;;C~~ Courtesy Letter- Sent- - -- -- -,-,,- ----..---" ---------------------------- .Notice and Order Issued To__Owner Dat~, For Compliance Compliance Obtained -- Date -.+.,-~_.- '"-..-.-..----. .._- )