HomeMy WebLinkAboutSpecial Inspection Miscellaneous 1983-12-2
.'
.
":::,._r=
5 32,2fl:5
J rJ..!? A ,.,I,
COURTESY INSPECTION APPLICATION
(RENTER. REQUEST)
CITY OF SPRINGFIELD
BUILDING DIVISION
DATEl:::2 - ;;) - % ~ . ADDRESS OF INSPECTION 4 S 3 S '(Y) JLl) I..>.
OWNER rn Q f, R rF'.f :r PHONE No.lLt Co - c; ~ f /
ADDRESS 1:),<;<-\ r. S+ s;,yC~2~_, <1/4// I
RENTER\)~.lQ\")f, \<,(')u.}fp PHONE NO(~'J c:g3- ;;<'61Q) ,
SIGNATURE- OF OC~UPANT (RE-~TER) #\ J ~ 0 >I. --d5,,~. A
FOR ACCESS TO PROPERTY - TELEPHONE NUMBE~ q _~ ~ - d:S ( ()
TYPE OF DWELLING: SINGLE FAMILY 0 DUPLEX B MULTIPLE 0
BRIEF DISCRIPTION OF MAJOR PROBLEMS: ;:au 1-1 \1 W\ \\ Do -:;:;ho(~' ou\- IJCi'
,. )'. I \ Ho:.:>\<[,cI(fc,,->mflE,+C:
71 \) VY-\ \ ~ -= -q- (. r:\ l \ \ )...) c'
\ l
-~
FOR OFFICE USE ONLY
.'
--------------------------------------------------------------------------------------
Date of Inspection
Courtesy Letter Sent
Notice and Order Issued To Owner
Date For Compliance
Compliance Obtained - Date