HomeMy WebLinkAboutPermit Housing Code 1993-10-29
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: Lk:X- A "1
JOB NUMBER: ',/-Q31.Jritf!J-
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ADDRESS OF INSPECTION:
OWNER: r: OU/V1-,y/ C:ld E f>rPA.f,,1'/I.1 t=NIC; PHONE NUMBER:
OWNER'S ADDRESS: )ul; I~ 1M r;PhAIV'7fJlJLI eM)
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RENTER: ~ <:;/.<A-$Sc.
SIGNATURE OF OCCUPANT (RENTER): /J ~
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FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:
PHONE NUMBER:
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TYPE OF DWELLING: SINGLE FAMILY I I DUPLEX I I MULTIPLE 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 ISSUEu 1U UW~~~:
DATE FOR COMPLIANCE:
COMPLIANCE OBTAINED - DATE: