HomeMy WebLinkAboutPermit Housing Code 1986-2-27
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
- CITY OF SPRINGF IELD
DATE ' ~ - ~ 7-?eo ADDRESS OF INSPECTION
OWNE~ W.#..J/1/.:it;;..<V' (/M-U/tf oj att-)
ADDRESS L/ sO S,' 46 r// , '
RENTER /};/(I/.Jj -/ '4-rOA/
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SIGNATURE OF bCCUPANT (RENTER)
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER
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BUILDING DIVISION
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1t/6 - #3-<f'c;
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PHONE NO.
PHONE NO.
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TYPE OF DWELLING: SINGLE FAMILY ~
BRIEF DISCRIPTION OF MAJOR PROBLEMS:
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DUPLEX D MULTIPLE 0
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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