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HomeMy WebLinkAboutSpecial Inspection Application 1985-10-10 (2) r .' - I' ~ <prr-: '.K507&,-;15 Ji ~ . COURTESY INSPECTION APPLICATION (RENTER REQUEST) ~~ ~ ;- CITY OF SPRINGFIELD BUILDING DIVISION , ..5;) lJ 0 JI1 fllN uT~ 4 i PHONE NO. Q,'i 7--3777 DATE /0 - / () - Rs' ADDRESS OF INSPECTION OWNER CUe7/~ K.O'RBnJS ADDRESS FAI L CQtE.k!. . ()k!. , RENTER CJI!CISTJAJc INr2/6J.f/ PHONE NO, 71.//-;), 73..3 SIGNATURE OF OCCUPANT (RENTER) () ~~ J. ~~ FOR ACCESS TO PROPERTY - TELEPHON;-)UelBER 71./ {- d 73-Y , i . TYPE OF DWELLING: SINGLE FAMILY 0 DUPLEX 0 MULTIPLE !2( BRIEF DISCRIPTION OF MAJOR PROBLEMS: D {2J')t!C:JJ / VI ^' J)(JuJ~, _;1) n ;-lEJ::ri 3412["' IA}P-LL- ~/L/Ne:;. 'F.. v j2tL4-€. (/ i!(ljj/;/; /d; III I//; I. }Lt ~f}~~C' d · I c0~~_-",=~,~_l~ FA-LL/ NG , A 1f(...... ,r , . FOR OFFICE USE ONLY -------------------------------------------------------------------------------------- Date of Inspection Courtesy Letter Sent Notice and Order Issued To Owner Date For Compliance Compliance Obtained - Date