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HomeMy WebLinkAboutSpecial Inspection Application 1996-12-2 . . ~ COURTESY INSPECTION APPLICATION , (RENTER REQUEST) CITY OF SPRINGFIELD BUILDING DIVISION ===============================================================================~ DATE: .ilf.rP,iYl~(' Zt'1Cl; lqQ/a .' JOB NUMBER: 9(;'''0(; ~ ADDRESS OF INSPECTION: 'Z7r;;~ "/OvA ~ \ e. 1- .' Yjq..~ OIlNER: tJiWI'A- \-\c..vf\~Ji'\t;Z I (lv1I)rCD'Tl\'DebPHONE NUMBER: ? O\lNER'S ADDRESS: 7..15 S' ~ t\\l II.. ~ 2- RENTER: ~1 'i::, c;- N.~v l\- \\, \ _ _ .f' PHONE NUMBER: 2:!lcr1.\S9Li SIGNATURE OF OCCUPANT (RENTER): L &L- fJ. ~ ~tlJW\ FOR ACCESS TO PROPERTY - TELEPHONE NUMB'tR: ~L.\ 10 - q xqL\ ~RaaaDDa_a_a_______aa___a___a__a____a_____=====_Q==_eD--a__=____===~_a=___a__=_~ TYPE OF D\lELLING: SINGLE FAMILY I I DUPLEX, I I MULTIPLE ~CREP~=Stb0 BRIEF DESCRIPTION OF MAJOR PROBLEMS;_~~fuill.'St> ~ ()f\ "I"'''I.\.\ ATI1\Y\ ~ '4IOC\'1". ~F- COll'lf~ ' - I fuYS cI.oY\'r \"001=- \~ V>n)_~ - I J' '" ~ <, P,ffi{'-\ Y1'1\"" Px- l\ \"t,CWv'l rtONt'vr\I\'JY\ RL\.\.l;'T'1 ~, C-LOli-. " I, I . I::LI':.(';rr\('J\L , ~(\I"\TA \I\.\%..LS. SI.llt=.,<;. Tt'"-"'''-''Ik ,<;,. . ~NT~ ~'f\S \-\-t-..o....\. &.e~\-rt \"\{W\C....~VT'\"'V\:1 l\D 'F,~ef.. A-lSc\ T',\l..vV\f',II' ~~S au....<;Mt-I(.S ~ \rOll) \N~TI". ,{\ '-1fW""d QeDTI~ &:.~ ~V" lJeo.-VS, l::!EcTe:'O\j. -\~lYC..'<' E.~D'Se.C\ l ~ ,;u.. ~ C-iJ<< por-\-. SIl.~M:u.+\Me..- S-hJ~~ ~yw JAIN.l~ W,-f\k> \"\l~-kv p\~ *GC..Z..e- \"\Q \~M\&,(\. n" IAtrr \},\a..~ \G~ V\t:r~~o .hK..Jl~MS( ('Jl.. \je,m- iV\ lGitcl-en. , \2.1lS,'i"6"D e;y-.lt'evc,~~f\2.Z.M:) . H,e.\\OW \\'1U\OYJ fOI):- ~e.A-~. F-~hnhl'1 1:YL\rOtlMJ~CffiV\ S''''\L-t>-r.,Jz" w,<:>J(., Irrrfl -ecl rtJO'h\ ~e...._l(\slO$..'-.DF_Bt:u..5&...~\.~L1.~k~l'.!t.....D1>_:lffi~\,,<b;t1.9i\..~~ .. \<!J5. FOR OFFICE USE ONLY -::;-. --------------____________h______._____________________________~._________________ DATE OF INSPECTION: COURTESY LETTER SENT: NOTICE AND ORDER ISSUEu IV VWNtK: DATE FOR COMPLIANCE: COMPLIANCE OBTAINED - DATE: YOU WILL BE CALLED TO SCHEDULE AN INSPECTION WC1l"D-ODlNl 5 W\o)~c{D~G \OlAV'S - . rtw~~ Wttsrr.. w~ ~'~ 6v...T \Y\~ Acc-~~. 7le:.~ p~w~ T('~l\€~, ~F' ~1\'f;6-IJ& AND ~. 0C 'r\Yt, M.iIY~s, i'l'~e... in HnILc;,{... ANTs S\~~~,"B\1..6S 'Powc.v' to tv~kv ~~ M-ud ~'\'" ~ ~()wtt~ S-Pt' \'\-\~\\. h.u-c\(l.(lc., e., OIl ~ ~~ rtf\~D ~ O{~'l\e.-. f'nlJY)(.... \..\;..~~ dllYd- v-.}OyIL r:oP~i f\wl\(., CO"lF'1 \-to..s kV\.. (;\.\.~ 3> -nM<-S ~.!, ~\Mih. \..\n(,~ tlvL '~\W('\-\ J Go' D tAl ~ v\w\s -\n k.- \r~,vG\ kvd.c\ wi<\t-., 13l1.l..L \)o~. ~ ~ M-v\l\ ~tc.k.. ~