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HomeMy WebLinkAboutSpecial Inspection Miscellaneous 1991-9-24 . . COURTESY INSPECTION APPLICATION (RENTER REQUEST) CITY OF SPRINGFIELD BUILDING DIVISION ================================================================================ . . DATE: crb:.dou I ADDRESS OF INSPECTION: / ::AI,\ 1-v>A'W JOB NUMBER: ^A . 1+- S. d<il CJ6z >OAt-e )~l ~f . , ~ ';"- 9////).0 OWNER: ~l~-\- SY'-v\% PHONE NUMBER: (cf/C ~lj OWNER'S ADDRESS: (p(.,y . 3-kJ-A- ~ \-, lJlI;Y~ c...W\(I~ 'J.~'Y(A7J RENTER: ,fY'Iil. I ,'Y)/\.<2. .-eJl..h. -;/. ;:< ?--:-~. ONE NUMBER: fl((-fl.d-< I ?/.. '.4' ' SIGNATURE OF OCCUPANT (RENTER): ~ 7. #q, ~ ..-L ?/ '- FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: 7y (- ,f1.:;;;o ================================================================================ TYPE OF DYELLING: SINGLE FAMILY [J DUPLEX [J MULTIPLE [J M(;>\): \ ~ 4..~e ~ BRIEF DESCRIPTION OF MAJOR PROBLEMS: I"i \2.:;'7 :-fJ~+ eJI..+~" ~ ~} (Yl~ )~ ~~,+Q,-",,~\.\ \~~Rrz \TVUl)\CV-,. ~ IS. ,oJ. Pr i.v'1.rpV'OF(t~ A }t -------------------------------------------------------------------------------- FOR OFFICE USE ONLY ------------------------------------------------------------------------------- DATE OF INSPECTION: COURTESY LETTER SENT: NOTICE AND ORDER ISSUED TO UWN~K: DATE FOR COMPLIANCE: COMPLIANCE OBTAINED - DATE: