HomeMy WebLinkAboutMiscellaneous Application 1984-07-12g qo<t7 Z
COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD BUILDING DIVISION
DATE ADDRESS oF TNSPECTToN 2->5
^J
sg Pl-
OWNER NO
ADDRE
123.1 ?ec. r5*,|q).
RENTER PHONE NO.
SIGNATURE OF OCCUPANT (RENTER)
TO PROPERTY PHoNE NUMBER -7 tl
-a_
TYPE OF DWELLING:SINGLE FAMILY tr DUPLEX tr MULTIPLE tr
BRIEF DISCRIPTION OF MAJOR PROBLEMS:
0' ,...,\1.,(.rloor^i\d-zlyae -S ]>n^-R
o5an
J,r*;
FOR OFFICE USE ONLY
Date of Insp ection
Courtesy Letter Sent
Notice and 0rder Issued To 0wner
Date For Compliance
Compliance Obtained - Date
"v6 x 73
-..\)(tDtrr-\/\r ()\-/, -^l-\o