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HomeMy WebLinkAboutSpecial Inspection Miscellaneous 1986-1-15 \a. COURTESY INSPECTION APPLICAT10N (RENTER REQUEST) ~~ ~-# de{ q (0 00 ;2Y 'CITY OF SPRINGFIELD BUILDING DIVISION DATE / -/5 - g cd ADDRESS OF INSPECTION 6M 5 d~, ~ OWNER 4a.Y-e ihrJ- . PHONE-;O. /)'/f -- d;)[)V ADDRESS "3 ~ "7 ( 0M~/UL.!Jt I ve/ RENTER B-1UI!d ~ PHONE NO. ~ -11f6-9r3e!!J) SIGNATURE OF OCCUPANT (RENTER) FOR ACCESS TO PROPERTY - TELEPHONE NUMBER ~.1 n J! I/dttrnL i ~. - b-!.t5tfpA-) . 7l/ (." - 943h TYPE OF DWELLING: SINGLE FAMIL~ DUPLEX 0 MULTIPLE 0 BRIEF DISCRIPTION OF MAJOR PROBLEMS: -* ~~) .~~ ~cio~ ic Kau; ;OOWr:tJ-L bJ?~ CU--'h>>,g.e d ~ .' a V f/ --+ ~~d."-~ .d,~J wiW ~ LULa+:- -f'-e~c9/L ~ClVL h[)1- W~ ~ -1:- SeW ~ U-~ ~Q.~ !l1\ ~~. -IV( ..-/ FOR OFFICE USE ONLY -------------------------------------------------------------------------------------- Date of Inspection Courtesy Letter Sent Notice and Order Issued To Owner Date For Compliance Compliance Obtained - Date