HomeMy WebLinkAboutPermit Application 1991-02-14CITY OF SPRINGFIELD
COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
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BUILDING DIVISION
olrn S- H-al ADDRESS OF INSPECTION /-h
PHoNE No. LtY - (fie4OItiNER
ADDRESS lg tS ?eo t'n)A Sfpaef 6i_tqtx. &.e gDqoz-
RENTER
SIGNATURE OF OCCUPANT (RENTER)
FOR ACCESS TO PROPERTY - TELEPHONE NI.'MBER I
PHONE NO.
TYPE OF DI{ELLING: SINGLE FAMIL
BRIEF DISCRIPTI0N 0F MAJOR PR0BLEMS: Nrr rz]<rt lA*r,rn\
v\ DUPLEX n MULTTPLE t]
FOR OFFICE USE ONLY
Date of Insp ection
Courtesy Letter Sent
Notice and 0rder Issued To Owner
Date For Compliance
Conp liance Obtained - Date
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