HomeMy WebLinkAboutPermit Housing Code 1987-10-15
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
BUILDING DIVISION
DATE 10- 15 - ~ '1 ADDRESS OF INSPECTION
OWNER UOY6+-L ~
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RENTER'SU'5.A--r\ ~Al\.E ~r7 M~
SIGNATURE OF OCCUPANT (RENTER) r0/w..,. ,C (i....n
, FOR ACCESS TO PROPERTY - TELEPHONE NUMBER (
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TYPE OF DWELLING: SINGLE FAMILY 0
BRIEF DISCRIPTION OF MAJOR PROBLEMS: ~/:..a.j_ ~vd:.. ~~, a 1-: ~_
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FOR OFFICE USE ONLY
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Date of Inspection Ir,/I(_ ('n 7
Courtesy Letter Sent
Notice and Order Issued To Owner
Date For Compliance
Compliance Obtained - Date 1("\ I I '1 I X J
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.SPECTOR G
CITY OF S RINGFIEL
BUILDING DIVISION 346 MAIN STREET 726-3753
WE HAVE INSPECTED THE ELECTRICAl WIRING AND EQUIPMENT INSTALLED BY YOU AT THE PREMISES NAMED HEREIN AND SUBMIT
TH~S REPORT FOR OUR RECORDS.
Jl/\ 1\ _ J ~ OWNER OR
TO .' ,,,,\ '~_YolI TENANT
\J LOCA liON OF _/ \. \".. .
JOB (n,"". g: CUAA...u>"-'
o WIRING APPROVED FOR COVER 0 A PERMIT IS REQUIRED
o APPROVED FOR SERVICE 0 HEAT CABLE APPROVED FOR COVER
o WIRING INCOMPl:ETE 0 UNDERGROUND APPROVED FOR COVER
o WIRING COVERED WITHOUT INSPECTION 0 CONDUIT SYSTEM APPROVED FOR COVER
o DUE TO THESE PREMISES BBNG lOCKED AN INSPECTION COUlD NOT BE MADE
o DUE TO NO ONE HOME AN tNspecrON COULD NOT BE MADE
o WIRING APPROVED FOR COVERING ElGCEPT THE FOllOWING '
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A. K. 6rlgg. Company, Inc.. I:vgene. Oregon 4542~
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