HomeMy WebLinkAboutPermit Housing Code 1993-4-23
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: i - ,2,"=? - 9'.~ , JOB NUMBER: q 1...JJJ1' {
ADDRESS OF INSPECTION: k?;u.~, J p~", /o<?_~ ~ ...Gjl-
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OIlNER: f{.- ~ f'\.,-=,
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5' }'rl"\ ......,..,n ~ PHONE NUMBER:
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OIlNER'S ADDRESS: {>, o. Arr/-
RENTER: 1",,,,4, _ L_. <; ~O '::z
SIGNATURE OF OCCUPANT (RENTER; ~J7 4
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FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:
PH::-l;BER:~/-7' -/01 c:::....-
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TYPE OF DIIELLING: SINGLE FAMILY I I DUPLEX 1>4 MULTIPLE I I
BRIEF DESCRIPTION OF MAJOR PROBLEMS:
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FOR OFFICE USE ONLY
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DATE OF INSPECTION:
COURTESY LETTER SENT:
NOTICE AND ORDER ISSUED Tv VWN~K:
DATE FOR COMPLIANCE:
COMPLIANCE OBTAINED - DATE: