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HomeMy WebLinkAboutSpecial Inspection Building 1992-4-22 . . COURTESY INSPECTION APPLICATION (RENTER REQUEST) CITY OF SPRINGFIELD BUILDING DIVISION ========================================-------------------------=============== DATE: Ll,;;z~-9.9 IIf" A 5+ JOB NUMBER: q /..PY,b;f? J C;PYi J~ ,-JJ OP S:J.l.f 0 , ADDRESS OF INSPECTION: .;;2/. 7.~ I1_n?AA fI OWNER: QA"'>n n f\ 0 etlhb; n <: PHONE NUMBER: ~ OWNER'S ADDRESS: ? RENT", ('~';j Q~ 'rl:h", ~ n: ir, .;1. "'iI" PH'''ANUM,,?' 74h;)7/'i SIGNATURE OF OCCUPANT (RENTER)~ ~'rJO ,t ~Atu/~, FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: 7"-/ / - ;;1f/ 9 ============-----==================---~-========----------=======-----========== f~ TYPE OF DIlELLING: SINGLE FAMILY ~ DUPLEX 0 . MULTIPLE 0 BRIEF DESCRIPTION OF MAJOR PROBLEMS: I} \j ^ " n<] ,n r, '1"'J / " 1:'>.- \ .l )rJ. 1 P .1'>_ n .A J, 'Q~ n ,hr. h + (')~. /)/) 1~2) )y., r/'- "..br Jj'(')"rG'J ,JTjjJJ> r-i-t,u7r d. ((1/) ('e.)'l!nJ OrUJ ~u Jr-j /fl ,!:-o-r-1,J.P..R/? A,I,., n, ,-;;'-1:::1 - (,Os-t, - o ' ~ . h.lr,-j;; h() 1./]h1uitl ,jjRA /;m)!u. 0)' . ~),,)..J1 /) ;I ('" /'J7aO . ' Ii I ., I;:' 7, ~/)./)j;""1' rJ~..(~ r,/) . I> r::I.//j~/J. U/rl/J/{}/ll'rI /'In .-711(......1 ,-/)~. 0' # .. '/ .If1/; , . X ; - ------------------------------ FOR OFFICE USE ONLY ------------------------------------------------ DATE OF INSPECTION: COURTESY LETTER SENT: NOTICE AND ORDER ISSUED Tv UWN~~: DATE FOR COMPLIANCE: COMPLIANCE OBTAINED - DATE: 4b, \ 'I'). '=-/-1IQ'}