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HomeMy WebLinkAboutBuilding Application 1995-07-24t70fi52'/ ^blIO COI'RTBSY INSPECTION APPLICATION (RENTER REQUEST) CITY OF SPRINGFIELD BUILDING DI\ISION DATE:2_t JOB NUMBER:q ADDRESS OF INSPECTION: c \ (vv,- * (i(\ trrx ; oWNER : V[-(r.-,'r,.- (r rOll\) S t.J LI jil;:' a',' ''' "'' t'ffr ,-t \PC- r'1 -!-t''-r'\.r- "PHONE NUMBER: orrNER,s ADDRESS,MT*u sis r- 1.+q < , (' oe-92 r77 RENTER: iILr-r-r0.-,-,-. +(1 t--r \\-,\-,r\ er--..PHONE NUMBER: srGNATr.rRE 0F OCCUPANT (RENTER):JU*r vo-.\*.e 'fi* U ACCESS TO PROPERTY - TELEPHONE NUMBER: YIle d", TYPE OF DI,IELLING: SINGLE FAHILY I I DUPLEX I I MULTIPLE IYI .,BRIEF DBSCRIPTION OF MAJOR PROBLEMS: /.fr-c: \t4r- (-ou*:=-+at q d-(i -t-r \,/ t.,t C )t\\tl r-A {\r tl t ruct\ q- FOR OTFICE USE ONLY DATE OF INSPECTION: COI.IRTESY LETTER NOTICE AND ORDER IS DATE FOR COMPLIANCE: COMPLIANCE OBTAINED - DATE: YOU WTLL BE GALLED TO SGHEDULE AN INSPECTION WITHIN 5 Ui'ORKING DAYS LLt \ t V\ t r I,( ( ,LLL \+\,..a.L. DLI\ I