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Home My WebLink AboutPermit Housing Code 1997-1-17 ". . COURTESY INSPECTION APPLICATION (RENTER REQUEST) CITY OF SPRINGFIELD / 7 6322 3/ 6/7 tJd BUILDING DIVISION =====================================================================~======= DATE: \- ,'\ - "'" . JOB NUMBER: '110\10 ADDRESS OF INSPECTION: ~,~" ~ ''''- ". 1(__\<"'o"2':...-s- \<;;.. ~'\- \-.....C:::O-9 ~~\""~ ,~"\ 0- OIlNER: :-:s;~~~~ ~~{4.\ ~"'. ~~'\-~ . PHONE NUMBER: ,,\~\.,- \oC)'\j \ OIlNER'S ADDRESS: J~av~ Ll'~fPaYIC.f 3351 B/,fc..b"hj~ C?7l(O/ RENTER: ~'\~~" ,\,\:,\,~'" L PHONE NUMIlER: '\~,,- Q \~'l. SIGNATURE OF OCCUPANT (RENTER) :-----~\. '\~<::."X\ ~; ~ . FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: "N," - Q' ':::" " ================================================================================ TYPE OF DIIELLING: SINGLE FAMILY I I DUPLEX (XI MULTIPLE I I : BRIEF DESCRIPTION OF MAJOR PROBLEMS: ~\'R"i"-~\~"'~ :::'\ \' ,"'~:""'~,-, ~"\~~\\-"\ \"\.~"'"'\ f'u~y\' \7)~\\ ~ ~'L'-\"r--.~~\'~ ~~-~\.""'''' "'~~~ \....l,~~.. \.."t-~\\' \",,' \'"B :\'''C\ . , 0 ''\ \\, \ (\ I.. ) \~~('"'o ~\'~~\~"" . ~~"0"t '~. ~ss'c .'. . 'C::>\:)~'''',=\ \"""""~~\::- .~~ ~ 'C)~~. / -------------------------------------------------------------------------------- FOR OFFICE USE ONLY ------------------------------------------------------------------------------- DATE OF INSPECTION: COURTESY LETTER SENT: NOTICE AND ORDER ISSUED TO Ol/NER: DATE FOR COMPLIANCE: COMPLIANCE OBTAINED - DATE: .,Y~U WILL BE CALLED TO SCHEDULE AN INSPECTION WITHIN 5 WORKING DAYS :'.:.' ".'..