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HomeMy WebLinkAboutPermit Housing Code 1983-2-21 e e 8'?:f:B10 COURTESY INSPECTION APPLICATION (RENTER REQUEST) CITY OF SPRINGFIELD BUILDING DIVISION DATE ..2 - d I - ~ '3 ADDRESS OF INSPECTION L.;:'.l c.. 0 1)...:<:";_ S+. - -, PHONE NO. ")\!c .... o~s-<-,I' OWNER 1f1<AC' jM~+ Kr>.-Tc. ~\~r ADDRESS ~ 3/7 C 0 <" -r~\ \) ~ ~~+d' RENTER "+r....... \~ y.. C lw-' c...-.r--. _ ..-.. PHONE NO. ) <-Ie - 0'2 s- 7 - '" \)jJ (/ rP ' SIGNATURE OF OCCUPANT (RENTER) _ ~ /-. / , ~.....,.... ~ FOR ACCESS TO PROPERTY - TELEPHONE NUMBER_ ?C:./L - 8'2...-z:? )<.....A- R.r /'Y'> .c/< - TYPE OF DWELLING: SINGLE FAMILY /' ~UPLEX 0 MULTIPLE 0 BRIEF DISCRIPTION OF MAJOR PROBLEMS: L ~... f:- ' "" S-~ ~ _ .. ,-..7"0.-<'>-.... ,~ .' ~_ \( +- T-o : \ '" 4- ) rr ..... ~ /.. ____ ' } ~ ~ ?\ \ \ (') \ t ~ r ;~.",,- u "', 75 ~ ~\~~ ';;-;; -"L~ ~~ Jii,~ C?A ~ /~v '0 ~r-1 ~ 3'-ft;e '^ ~~ -'- u- -e. ( ,-.1." at:'\. <:::> to:. ..~., ~ v '\\ D 5.. ..... . ~) '?::>?">.r \f"\ r.. __ ~ ~ ~ ""<'...& d~~/l~ 'U ./ - ........ k:4-+9....... ,""",,- ArvJ -7*0 ..... .:s'''':'\ I I I~ d.J.. L~ ,A. ___ .' iJ '"'-^ ~ I~ FOR OFFICE USE ONLY -------------------------------------------------------------------------------------- Date of Inspection .2 ej~ ;to/"? Courtesy Letter Sent Notice and Order Issued To Owner Date For Compliance Compliance Obtained - Date HAR, /. /9R3 ..