HomeMy WebLinkAboutBuilding Application 1988-10-19*q\w5rCOURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD BUILDING DIVISION
DATE r O /tl,/o*-ADDRESS OF INSPECTION
OI{NER PHONE NO.
ADDRESS / 2"">
RENTER C{nced- -HoNE No. /,)a -oYf{--
SIGNATURE OF OCCUPANT (RENTER)-,1*n-,.-.,.*-- G- g-^."
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER
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TYPE OF D TELLING: SINGLE FAMILY M DUPLEX tr MULTIPLE
BRIEF DISCRTPTIoN OF MAJOR PROBLEMS I hDzi-,_.^j A.,,J- h"-C',1.<*,
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FOR OFFICE I'SE ONLY
Date of Inspec tion
Courtesy Letter Sent
Notice and 0rder Issued To 0wner
Date For Comp liance
Comp liance Obtained - Date
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*q\w5vCOURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD BUILDING DIVISION
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OWNER
ADDRESS / 7'+
RENTER
SIGNATURE OF OCCUPANT (RENTER)
FOR ACCESS TO PROPERTY - TELEPHONE NTIMBER
ADDRESS OF INSPECTION // -r z .t/ ^"y''-
PHONE NO --.. 7ac -&/Od
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TYPE OF DV'IELLING: SINGLE FAMILY M DUPLEx tl MULTTPLE t]
BRIEF DISCRIPTION OF MAJOR PROBLEMS:
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FOR OFFICE USE ONLY (r{
Date of Inspect 10n
Courtesy Letter Sent
Notice and Order Issued To 0wner
Date For Comp liance
Comp liance 0btained - Date
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PI ann I ng & Devel opment
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Job. No.
JOB ADDRESS
C[ltr]' OF SPR,I}TGFIL Bui I di ng Di vi sion
OFFICE OF COMMUNITY AND ECONOMIC DEVELOPMENT
225 North 5th Street Da te l-x
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CALL FOR REiNSPECTION INSPECTOR
**** CALL FOR' INSPECTI0N 726-3769 ---- INF0RMATI0N: 726-3753 ***'/r