HomeMy WebLinkAboutSpecial Inspection Application 1985-10-10
!RTESY INSPECTION APPLICATION eif i'SO~ ~
(RENTER REQUEST) ~
CITY OF SPRINGFIELD
BUILDING DIVISION
DATE RJ.. /0 - i ~ ADDRESS OF INSPECTION
OWNERtur.{;S ~"....
ADDRESS ~::J// (' r~l'k
RENTER-1)"o; ..~p'I)",u'r<.,
SIGNATURE OF OCCUPANT (RENTER) / jJpAU~
5~40 fV}f\;rt-fiC
PHONE NO. C/.-::S7- 3777
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER
PHONE NO. 61lS") 14( -).7'3"3 ::\
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(ms11 rJ4/-J 733
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TYPE OF DI'/ELLING: SINGLE FAMILY 0 DUPLEX 0 ~LTIPLE ~, \ ..~\~
BRIEF DISCRIPTION OF MAJOR PROBLEMS:)3rDkrn lAJ,,JowS,1-- iT'J .. "":"'"
-6are ?:Ifxir,{' w;rec; (~'" jJc::..f pvj i",) Alo neat
FOR OFFICE USE ONLY
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Date of Inspection
Courtesy Letter Sent
Notice and Order Is~ued To Owner
Date For Compliance'
Compliance Obtained :- Date