HomeMy WebLinkAboutPermit Miscellaneous 1985-06-17Pl*-*^"-t{o-v>'--z* -
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
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BUILDING D ION
ADDRESS OF INSPECTI
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ADDRESS f,./e*fd-
PGNTER PHONE NO. r'L.,,_*
SIGNATURE OF OCCUPANT (RENTER)
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER ,-,)zl C*-
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OF DIIIELLING: SINGLE FAMILY D DUPLEX t] MULTIPLE tr
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
CITY OF SPRINGFIELD
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