HomeMy WebLinkAboutSpecial Inspection Miscellaneous 1983-12-2 (2)
.'
.
B 3~2f13
COURTESY INSPECTION APPLICATION
(RENTER. REQUEST)
CITY OF SPRINGFIELD
BUILDING DIVISION
,
DATE 1::2 - ~ - % ~ ADDRESS OF INSPECTION 4 S 3S Y"n yQ) l"l
OWNER rnOf, h((,f r PHONE NO. lLtLo - ~:::;(., J
ADDRESS / :2,<;<-\ (-. S-+ ~d'cl. 9/4/1
. \
RENTERiJ~~~)f, ~()L0f~ PHONE NO(~') Cf.53- ;;<61(7)
SIGNATURE- OF OCCUPANT (RENTER) \)( ~ 0 7/. ~(')-{~. A
FOR ACCESS TO PROPERTY - TELEPHONE NUMBE~ q _~ ~ - d:S ( 0
TYPE OF DWELLING: SINGLE FAMILY \2( DUPLEX & MULTIPLE 0
BRIEF DISCRIPTION OF MAJOR PROBLEMS: '::-OU 1-1 \1 W\ ,'\ De> -,<)!ro(-t::: ou\- luof'
. '. I \ Ho:.:>!<E.d<fc,,->my.>iE,+E:.
71 '-l VY-\ \ ~ -= ----r ('':.\ l \ l )..) 0
\ l
- To 110<r 'IJtA?
_ /"'2.-5' -'fi3 "3
,
----1
\
\
J
~4A-
;.
FOR OFFICE USE ONLY
--------------------------------------------------------------------------------------
Date of Inspection
Courtesy Letter Sent
Notice and Order Issued To Owner
Date For Compliance
Compliance Obtained - Date