HomeMy WebLinkAboutPermit Field Test & Inspection Report 1995-02-28CITY OF SPRINGFIELD
COTIRTESY INSPECTION APPLICATION
(RENTER REQUEST)
BIILDING DI\ISION
ADDRESS OF INSPECTION: ) I ) I
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PHoNE NUMBER: W-b I
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STGNATURE 0F OCCUPANT (RENTER):q,)^-ca-/
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:4L sRg)
TYPE OF DVELLING: S]NGLE FAMILY l#t DUPLEx I I MULTTPLE I fnn' ,Lue
BRIEF DESCRIPTION OF MAJOR PROBLEMS:
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FOR OFFICE USE ONLY
DATE OF' INSPECTION:
COITRTESY LETTER
NOTICE AND ORDER ISSUE
DATE FOR COMPLIANCE:
COMPLIANCE OBTAINED - DATE:
YOU WILL BE GALLED TO SCHEDULE AN INSPECTION
WITHIN 5 WORKTNG DAYS
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PHONE NUMBER:
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