HomeMy WebLinkAboutMiscellaneous Application 1989-10-09#s7 lo7{
COURTESY INSPECTION APPLICATION
(RENTER
CITY OF SPRINGFIELD \C)ffies4 BUILDING DIVISION
DArE tO.-9-Aq
OWNER
ADDRESS
RENTER
SIGNATURE OF OCCUPANT (RENTER)
FOR ACCESS TO PROPERTY - TELEPHONE NTJMBER
ADDRESS oF TNSPECTToN t4 1 A1f\ ) A"n
PHoNE No. z z-6^ e
PHoNE No. 14 -Ll?18
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TYPE OF D}IIELLING: SINGLE FAIvIILY tr DUPLEX n MULTIPLE tl
BRIEF DISCRIPTION OF MAJOR PROBLEMS: 5
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5s I rRQ-S,o
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c)C('/tr tgOB !
FOR OFFICE USE ONLY
Date of Insp ection
Courtesy Letter Sent
No tice and Order Issued To Owner
Date For ComP liance
Comp liance Obtained - Date
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