HomeMy WebLinkAboutPermit Housing Code 1987-2-3
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
BUILDING DIVISION
DATE 2 - 3 - ~ 7 ADDRESS OF INSPECTION 'B?? 0 N'. c 10 V ~v I -e..a... -f2 Lr
OWNER UVl1.by-e.II~ P'rop..ert-ies PHONE NO. ~gL./-bS15
ADDRESScPV-O('ev-ty /VlAntl.€le....S) F.o.Box':~SN:, C'oiWY1. Oy~ <17-f(.ol
RENTER E/me; /-r!ow:'ls k,' PHONE NO. 7'7'6-7<./2/
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7'16-7'12/
SIGNATURE OF OCCUPANT (RENTER)
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER
TYPE OF DWELLING: SINGLE FAMILY 0
BRIEF DISCRIPTION OF MAJOR PROBLEMS:
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DUPLEX L2r MULTIPLE 0
C. h ">>1 n e Y S€.Par"",-ted
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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