HomeMy WebLinkAboutSpecial Inspection Application 1985-10-10 (2)
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST) ~~ ~ ;-
CITY OF SPRINGFIELD
BUILDING DIVISION
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PHONE NO. Q,'i 7--3777
DATE /0 - / () - Rs' ADDRESS OF INSPECTION
OWNER CUe7/~ K.O'RBnJS
ADDRESS FAI L CQtE.k!. . ()k!.
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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
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TYPE OF DWELLING: SINGLE FAMILY 0 DUPLEX 0 MULTIPLE !2(
BRIEF DISCRIPTION OF MAJOR PROBLEMS: D {2J')t!C:JJ / VI ^' J)(JuJ~,
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FOR OFFICE USE ONLY
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Date of Inspection
Courtesy Letter Sent
Notice and Order Issued To Owner
Date For Compliance
Compliance Obtained - Date