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HomeMy WebLinkAboutBuilding Application 1996-06-18COIJRTESY INSPECITON APPLICATION (RENTER REQUEST)tz63A( obrq> CITY OF SPRINGFIETD ADDRESS OF INSPECTTON:// ^/ 4o/s/ OIiNER Zn f /!.r-,x'/.t*ut. PHONE NUMBER:7rr- ?e6r BUIU)ING DI\iltSION ,6 owNER'S ADDRESS, ..,AS jG E. Jt *? RENTER: SIGNATURE OF OCCUPANT (RENTER): FOR ACCESS TO PROPERTY /9rr/PHoNE NUMBER: 7/6.5d,6 - TELEPHONE NUMBER:7/6-36 ?6 TYPE OF DWELLING: S INGLEFAMILY I I DUPLEx I I MULTTPLE X BRIEF DESCRIPTION OF MAJOR PROBLEMS: /-..nr J d*-* u) FOR OFFICE USE ONLY DATE OF INSPECTION: COI.IRTESY LETTER DATE I'OR COMPLIANCE: COMPLIANCE OBTAINED - DATE: YOU WLL BE GALLED TO SGHEDULE AN INSPEGTION WITHIN 5 UI'ORKING DAYS oi"lff?DATE:- /tr- ?6 JOB NUMBER: