HomeMy WebLinkAboutSpecial Inspection Application 1992-4-27
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: 00,',0 ;)1 \qq~ JOB NUMBER: q7~(P?;o
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ADDRESS OF INSPECTION: Fl;:::)'1ri. Hn.I~"\ ~t~
OVNER:
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PHONE NUMBER: ~~- ~q) ~
OVNER'S ADDRESS:
RENTER: ('<w 1,'. -, ~Ol101:t PHONE NUMBER: ~-:::JlnJ1Rlo \
SIGNATURE OF OCCUPANT (RENTER): (' "r9 n l' J" h() ~ l (\ _ tt--
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: '1d to - 'I ?< I () I
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TYPE OF DVELLING: SINGLE FAMILY It& DUPLEX 0 'MULTIPLE 0
BRIEF DESCRIPTION OF MAJOR PROBLEMS: . o9.vc,1 .:(If', n ,', f\ n.
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FOR OFFICE USE ONLY
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DATE OF INSPECTION:
COURTESY LETTER SENT:
NOTICE AND ORDER i~~U~~ lU UW-N~K:
DATE FOR COMPLIANCE:
COMPLIANCE OBTAINED - DATE: