HomeMy WebLinkAboutPermit Miscellaneous 1990-11-05fib#70/34X
COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD BUILDING DIVISION
oxp. //0 tt f ADDRESS oF INSPECTION g 2
owNER /') t am.ar-g f*rr,,/ ,{c./tte i)/PHONE NO.
ADDPGSS .-{+ ) rh // S?,
tle
PGNTER
SIGNATURE OF OCCUPANT (PGNTER)
FOR ACCEqS TO PROPERTY - TELEPHONE NI.'MBER
PHONE NO.-o/
TYPE OF DUIELLING: SINGLE FAMILY D DUPLEX u MULTIPLE ,B.
4
r 7
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d /-e, "
FOR OFFICE USE ONLY
Date of Inspection t\1q
Courtesy Letter Sent
Notice and 0rder r*
Date For Compliance
Compl iance Obtained - Date
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BRIEF DISCRIPTION OF MAJOR PROBLEMS:
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