HomeMy WebLinkAboutPermit Housing Code 1984-10-25
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:J6 b 5Jt..j () 7 S- 0 COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
DATE OC~~ /1/LAnDRESS OF INSPECTION
OIlNER JOhn kVb'e/rt
BUILDING DIVISION
/344 .fe/Iv fi>/vd Spr,ivtf1et1
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PHONE_ NO.
ADDRESS
RENTER mIJryltnne /!11M" 1JJ&(//r,pAl
SIGNATURE OF OCCUPANT (RENTER)
PHONE No.<---7.2t,-'-(P2../1
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER
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TYPE OF DWELLING: SINGLE FAMILY t:f DUPLEX 0 MULTIPLE 0
BRIEF DISCRIPTION 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 To Owner
Date For Compliance
Compliance Obtained - Date