HomeMy WebLinkAboutOccupancy Housing Code 1987-12-7
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD BUILDING DIVISION
DATE n.. -1-2)~., AfJPRIjSS OF INSPECTION ~33 J/;Jfj;w Erl -.'SvttJ/u,GLtI
OWNER /Vl4ttfhA- (~/k--~tfl.;Nl=" cJ ~)~/)fc}l8dpj PHONE Nctr4~ff9-S~3i?
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ADDRESS W 55 S flAk sr f::~('{jb-N& ()Ie. 9 ,/C/tY/ '
RENTER ~I;-S.e "i../;yr!A ~trtafJ18'& ' gHONE NO. 7'//-J..o.2.>;/ 1.l6 A-.v~",d>'<--
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SIGNATURE OF OCCUPANT (RENTER) ~/$' .y.,-d'A~
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. FOR ACCESS TO PROPERTY - TELEPHONE NUMBER /W-;2t5 '2..~
TYPE OF DWELLING: SINGLE FAMILY M DUPLEX 0 MULTIPLE 0
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FOR OFFICE USE ONLY
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Date of Inspection
Courtesy Letter Sent
Notice and Order Issued To Owner
, Date For Compliance
Compliance. Obtained - Date
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OWNER
ADDRESS
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TYPE OF INSPECTION:
HOUSING '.' OCCUPANCY'
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COMPLAINT
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD BUILDING DIVISION
DATE 0. - J- >17 ADDRESS OF INSPECTION 7"33 J/.;Jfltw 'ed SoiilltiAGl.tl
OWNER-1J1$tfu4. io.,f."lfi.JjI!l= () l1ip'I-,A)/NI# PHONE NO. 9'Y7'-S63~
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ADDRESS /35 S t1AJr ,c;r ~~U.0gNI-;; ()ie, 97'f1CJ/
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RENTER ~{,.'fY.e ,;. IvNrlA ':;tJtaf/1tJ'& ~HONE NO. 7V/-J-6;S- J #.I. hv~~."yt....
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SIGNATURE OF OCCUPANT (RENTER) ~ ~ ,;/. J.d~-
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. FOR ACCESS TO PROPERTY - TELEPHONE NUMBER '?Y/-;2b)....~
TYPE OF DWELLING: SINGLE FAMILY Q1 DUPLEX 0 MULTIPLE 0
BRIEF DISCRIPTION OF MAJOR PROBLEMS: /'11/5 il (} It 'xfAJa.' lJ;<lAu::~ 1S/1{.k:. J)8/'C h ),
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FOR OFFICE USE ONLY
Date of Inspection
Courtesy Letter Sent
Notice and Order Issued To Owner
Date For Compliance
Compliance Obtained - Date