HomeMy WebLinkAboutPermit Building 1989-1-25
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COURTESY INSPECTION APPLICATION
(RENTER REQUEST)
CITY OF SPRINGFIELD
BUILDING DIVISION
DATE /-d.-S-gC;. ADDRESS OF INSPECTION /CJc2/
OWNER fncuLkJUWL'} ~~ PHONE NO.
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ADDRESS' X 10 vtJ r/~/YIJ1;.-fJ 0 r J/ltU~na9(f/l ~
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RENTER :J 0 t-\ l-J 1\\ E lU 10 tV PHONE NO.
SIGNATURE OF OCCUPANT (RENTER) ~ i/ ~
. FOR ACCESS TO PROPERTY ~ TELEPHONE NUMBER I S-~
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TYPE OF DWELLING: SINGLE FAMILY 0 DUPLEX 0 MULTIPLE ~
BRIEF DISCRIPTION OF MAJOR PROBLEMS:
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FOR OFFICE USE ONLY
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Date of Inspection
Courtesy Letter Sent
Notice and Oider Issued To Owner
Date For Compliance
Compliance Obtained - Date