HomeMy WebLinkAboutSpecial Inspection Building 1996-12-30
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
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BUILDING DIVISION
DATE: 12-_ 0-qr;
ADDRESS OF INSPECTION: 1263 M4VV ;tf<f/
l7033'5c..[/o<;nOQ
OIlNER: ~#N MchAUvt PHONE NUMBER: 745-0::;lg--7)
OIlNER'S ADDRESS: G(2,y'hard ~/lZjj "~l-c. Yl(()ydS
207~5 ~ I;),(p A/O'f,',Oe., q7Lfbl M~5
RENTER: ~ ~ J~JJ/"~ !.F0fI PHONE NUMBER: ~-'<;4I~Z
SIGNATURE OF OCCUPANT (RENTER)~_~~ ~~ ~
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: . ~
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'JOB NUMBER: qf# /7 /.J-.
9?R:i);.G.;:;;l? 8LJ)
TYPE OF DIIELLING: SINGLE FAMILY ~DUPLEX I I
BRIEF DESCRIPTION OF MAJOR PROBLEMS: ~72)y~r.~
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MULTIPLE
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FOR OFFICE USE ONLY
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DATE OF INSPECTION:
COURTESY LETTER :":',H:
NOTICE AND ORDER ISSUEu ru UWN~K:
DATE FOR COMPLIANCE:
COMPLIANCE OBTAINED - DATE:
.-'19U WILL BE CALLED TO SCIHlEDU8.lE AM INSPECTDOINJ
WITHIN 5 WORKING DAYS