HomeMy WebLinkAboutPermit Housing Code 1985-12-4
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
DATE 1:< - 4 - f~ ADDRESS OF INSPECTION
OWNER ~./~..l a. ~d~~..L/
ADDRESSS3? ~/ ~"o/" -' P4-.;.d ./
RENTER
BUILDING DIVISION
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PHONE Nt 7</6- 24Co'7
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PHONE NO.
SIGNATURE OF OCCUPANT (lRI'NT"R) ,
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FOR ACCESS TO PROPERTY - TELEPHONE NUMBER
TYPE OF DWELLING: SINGLE FAMILY 0 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
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