HomeMy WebLinkAboutPermit Application 1993-06-28COT'RTESY INSPECTION APPTICATION
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CITY OF SPRINGFIELD BUILDING DIVISION
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DATE;b->t-7t JOB NUMBER:
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PHONE NUMBER: bg7. O'I8O
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ADDRESS OF INSPECTION: I) O 5,,fl.
OL/NER:
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RENTER:PHONE NUMBER: 7qZ-O VTS
SIGNATURE OF OCCUPANT (RENTER):\u7&l-
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:-o >q
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TYPE OF DWELLING: SINGLE FAMILY KI DUPLEX I I MULTTPLE I I
BRIEF DESCRIPTION OF MAJOR PROBLEMS:
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DATE OF INSPECTION:
COURTESY LETTER S
NOTICE AND ORDER ISSUE
DATE FOR COMPLIANCE:
COMPLIANCE OBTAINED - DATE:
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