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HomeMy WebLinkAboutPermit Housing Code 1981-11-23 (2) e w .~.~. COURTESY INSPECTIO~ APPLICATIO~ (RENTER REQUEST) , . CITY OF SPRINGFIELD DATE /I...:J '3- R / Oh);E;{ .If!!t p(; /; ADDRESS BUILDING DIVISION ADDRESS OF INSPECTION Lj,2. b> () [)!}JSV ,St 15/J-j{' /f It; ;? I PHONE NO. f:C,A,R,7;I!i() r+ lUK1() PHONE NO. '1;:7 b , ' r~./. ;;/J~C (J ~~~rO IN -. q!; , , FOR ACCESS TO PROPERTY - TELEPHONE NUMBER 7:1 If, ,5;5-<Vc; RENTER l: \/f'~ / /1) (1/;?( )PV I - I SIGNATURE, OF OCCUPANT (RENTER) ,')5 t/9 . TYPE OF DWELLING: SINGLE FAMILY 00 DUPLEX 0 MULTIPLE 0 (14/ './/I//.11 tf a~,A ~d/" k# ~/J.P Oi./"IId..1.//J/11' /Y1jjf:I?~jl l/h/.J..dJ l/y t~ A~I /1U8/1I .~ d.;4tj/J?1"J;{, d ' , "i/ //< / / rT J1//~ ~ic:t''':'-f/J/I t?>> // 12,,*:) /'/'/41 /?/J~~.P" /~#t?;-#' a~ ~ J~(4 !//J?il ;B-,('~A/Y.'<1fl,~ d)/:/.?fl /f h AU4h~k.l /hp/J 1:4 ,,?J7ol.J //Jj !/..p~0 /0 !tk),/71f7777. ;{JJ AA- 4/~~~tJ !h,CJP /I ~~l/J'I /- ,AA/ -/'~/JY/)?r? /Illo//},. kAAf1 .' /.u;A.~ - , , - ):) , ...I.". r' - );.' f / . !~g;: /;-<-d-, /' /JZ'i1 .A/J,h / f!~!b/'C]~, /W~;A 7///~- , ; .' - '? //: ' - f:}/?I' 1 r L~ Ia":!/:y ~.~ ~//??7 ,4 ~ ,51 ~A/~ jJp#;A. Ift/A,,,l, ;;/)?r /)1V'k~fl ~~/:n/) ~/'/d<? . C!~/_ /f<: '/' )~. ' - ,-' - - -\\_~ -'bl 'i ("'), 1. ~ '. \ \^-ftr~ , , FOR OFFICE USE .ONLY c.....'f\..~~ ., \0'. ~() ----------------------------------------------------------~-~~--------------- ~('\)ON\~ ~L/ \QSt - J BRIEF DISCRIPTION OF MAJOR PROBLEMS: Date of Inspection Courtesy Letter Sent Notice and Order Issued To Owner Date For Compliance Compliance Obtained - Date