HomeMy WebLinkAboutBuilding Miscellaneous 1997-1-21
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
BUILDING DIVISION
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DATE: --;r/---97 JOB NUMBER:~170 1 q 7
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ADDRESS OF INSPECTION: 15 J... L/ r:n. :... 1/ i e.tu
OIINER :
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Pm(-l(> (' tj
ElA~<l-1.. &^J 5+,
PHONE NUMBER:
OYNER'S ADDRESS:
RENTER: ~l- \-\~
SIGNATURE OF OCCUPANT (RENTER):
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V~o1J. S. f-l~
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER: (4'7 - 'l. () t;., <;?
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TYPE OF DYELLING: 'SINGLE FAMILY r'1 DUPLEX I I MULTIPLE I I
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BRIEF DESCRIPTION O'F MAJOR PROBLEMS: ~rO..;~ 2~ ;. i~
~Ml1D~ i. ~.A.Q~ kA. 06 ~~; ~
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FOR OFFICE USE ONLY
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DATE OF INSPECTION:
COURTESY LETTER SENT:
NOTICE AND ORDER ISSUEu iu UWNhK:
DATE FOR COMPLIANCE:
COMPLIANCE OBTAINED - DATE:
.-Y9U WILL BE CALLED TO SCHEDULE AN INSPECTION
WITHIN 5 WORKING DAYS
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