HomeMy WebLinkAboutPermit Housing Code 1997-1-10
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: lid /7"7 _ JOB NUMBER:
ADDRESS OF INSPECTION: ?f/c1S- r~,
OWNER: ~. t/dI~ ~
OWNER'S ADDR{SS: 3/cJ ff- ~~.
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RENTER:~ !JJ~J
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SIGNATURE OF OCCUPANT (RENTER):
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:
PHONE NUMBER:
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"'" Nt::: ?LI?~
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TYPE OF DWELLING: SINGLE FAMILY I I DUPLEX I I MULTIPLE Jxr
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 TO OWNER:
DATE FOR COMPLIANCE:
COMPLIANCE OBTAINED - DATE:
.V9U WILL BE CALLED TO SCHEDULE AN INSPECTION
WITHIN 5 WORKgNG DAYS