HomeMy WebLinkAboutPermit Mechanical 1984-12-1
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
BUILDING DIVISION
ADDRESS OF INSPECTION / ~;; i '2: I ~~ S/'YI;' J 5'~;- / cJ,.e
.fJ, Jg~/l- PHONE. NO. h 9 ? - / '7 I < (.:-b..)
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OWNER~VI ? f'a.V1;/c.:.
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ADDRESS / 7/") F '1L;-:.tJ
PHONE NO. 7 J. 6 .- ht"'J h "7
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. FOR ACCESS TO PROPE,TY : :ELEPHONE NUMBER 7 .J.I'... f /.,CJ/,., 7 Ij:q7~:-r,,/?,. ~ ,
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TYPE OF DWELLINt SINGLE FAMILY. IZI DUPLEX 0 MliTIPLE 0
RENTER g>-I.fJtxLJ. IIi., (3~y1
. SIGNATURE OF OCCUPANT (REN~ER)
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BRIEF DISCRIPTION OF MAJOR PROBLEMS: ('1, ,""'- ... 7' ti~/I:Z:{~ -( () ?~ ';h_,..- - f'" ~J,d/.
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FOR OFFICE USE ONLY
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Date of Inspection
Courtesy Letter Sent
Notice and Order Issued To Owner
Date For Compliance
Compliance Obtained - Date