HomeMy WebLinkAboutOccupancy Housing Code 1985-3-21
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CITY OF SPRINGFIELD
COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
BUILDING DIVISION
DATE 3 - 0> I - ~ ADDRESS OF INSPECTION I z. 7 '3
OI'/NERtJi, rr,'/I C.Wf'...A.- &/occd-T'o-rv. PHONE. NO.
ADDRESS -ffi I( P 1/ ~ " u)/f
RENTERI/a. {l1J-.J0r .. /? ;j PHONE NO.
SIGNATURE OF OCCUPANT (RENTER) /);;.kcliJ~ ,i.tt/II1
. FOR ACCESS TO PROPERTY - TELEPHOr!E NUMBER 6ofJdfL-, fru.. ~)'A.,.. ea fry
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TYPE OF DWELLING: SINGLE FAMILY M DUPLEX 0 MULTIPLE 0
BRIEF DISCRIPTION OF MAJOR PROBLEMS: _'1 kxrl /'I;S.P rT Wo. .s .
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FOR OFFICE USE ONLY
Date of Inspection.
Courtesy Letter Sent
Notice and Order Issued To Owner
Date For Compliance
Compliance Obtained - Date