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HomeMy WebLinkAboutSpecial Inspection Application 1992-4-27 .e . COURTESY INSPECTION APPLICATION (RENTER REQUEST) CITY OF SPRINGFIELD BUILDING DIVISION =================------============~-------========-------------------------==== DATE: 00,',0 ;)1 \qq~ JOB NUMBER: q7~(P?;o I ADDRESS OF INSPECTION: Fl;:::)'1ri. Hn.I~"\ ~t~ OVNER: ("<L6J 0, \-inA.o Q D 11 n'l n 0('\,0 k.., 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 ===-----==============================?========-----------~-=-----======-------== TYPE OF DVELLING: SINGLE FAMILY It& DUPLEX 0 'MULTIPLE 0 BRIEF DESCRIPTION OF MAJOR PROBLEMS: . o9.vc,1 .:(If', n ,', f\ n. N'u~f 10 - < ~l ,o~ M 'l~ FOR OFFICE USE ONLY ----------------------------------------------------------------- DATE OF INSPECTION: COURTESY LETTER SENT: NOTICE AND ORDER i~~U~~ lU UW-N~K: DATE FOR COMPLIANCE: COMPLIANCE OBTAINED - DATE: