HomeMy WebLinkAboutPermit Miscellaneous 1984-02-070qa+L Lt0
COUK.iSY INSPECTION APPLICATION
(RENTER REQUEST)
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CITY OF SPRINGFIELD BUILDING DIVISION
DATE -8
OTIiNER 9x re Sr*n
ADDRESS OF INSPECTIoN 3'I .l kY\: I -
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RENTER
SIGNATURE OF OCCUPANT (RENTER)
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER {/ - e3s /-
PH0NE NO. ?'^^44e42_ 7 L/) - T3 "1
TYPE OF DWELLING:SINGLE FAMILY D
BRIEF DISCRIPTION OF I\,IAJOR PROBLEMS:t\Aor,-rua'r flAcK 5;.\< O I
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Date of Inspection /--?-"1 vCourtesy Letter Sent
Notice and Order Issued To 0wner
Date For Compliance
Compliance Obtained - Date
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