HomeMy WebLinkAboutBuilding Application 1993-05-1039Czs
PHONE NUMBER:?H-n-3
COURTESY INSPECTION APPLICATION
(REI']TER REQUEST)
CITY OF SPRINGFTELD BUTLDING DIVISION
DATE:
ADDRE
JOB NUMBER:
SS OF INSPECT
Oli NER:,'f Ntl ? Ek1 PHONE NUMBER:
Olii.lER' S ADDRESS:
(ttzouz,sT
CHt'"1? (ynu Ps1;r L C HaP
;r,r,Ok<n*-?D trI.iTI]I)+
SIGNATURE OF OCCUPANT (RENTER):
FOP. ACCESS TO PROPERT'i - TELEPHOI.IE }IUI,IBEP.:e//-(?os
lZzg N 40II
TI-PE 0F D\JELLIi.IG: SII\IGLE FAI'|ILf ll DUPLE){ ll MULTTPLE ll
BRIEF DESCRIPTIOIi OF i'IAJO
Af {,onrl A^/d
Deck< *' n,d a,x+E/ f' [1n, LS+ fioB t LE, No ^L
R PROBLEI'IS:
[\n c,{ C
cD
3
St{
s
FOR OFFICE USE ONLY
DATE OF INSPECTION:
COURTESY LETTER SE
NOTICE AND ORDER ISSU
DATE FOR COMPLIANCE:
0
CO},lPLIANCE OBTAINED - DATE:
\
a
Qloozg
COURTESY INSPECTION APPLTCATION
(RENTER REoUEST)
DATE:j---lO-q3 JOB NUMBER:
ADDRESS oF INSPECTIoN: lZZg /3d
OWNER:,'f /v/A ? Ek1 PHONE NUMBER:
OIINER'S ADDRESS:(Lnn ":7
CHtt,sl| Gnudo Ppfi L CNaP
'-rx1kro"t7 PHONE NUMBER: Q<Z/-f?53RENTER
SIGNATURE OF OCCUPANT (RENTER):
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER:?oS
TYPE OF DWELLING: SINGLE FAMILY ll DUPLEX ll MULTTPLE ll
BRIEF DESCRIPTION OF MAJOR PROBLEMS:EI ,LE
A*,n-/ ANd [\nc,{ o+n4ol3 iLtr o rv"r.L
FOR OFFICE USE ONLY
DATE OF INSPECTION:
COURTESY LETTER
NOTICE AND ORDER ISSUE
DATE FOR COMPLIANCE:
COMPLIANCE OBTAINED _ DATE: