HomeMy WebLinkAboutBuilding Miscellaneous 1986-1-3 (2)
CITY OF SPRINGFIELD
. .
COURTESY INSPECTION APPLICA~lON I=i=- f>~ ~[)S-
(RENTER REQUEST) ~ .
BUILDING DIVISION
DATE / - 3- 8' ~ ADDRESS OF INSPECTION bbS Wf?S-f <PU t'n dl/ -I-
OWNER /-<. (' \'0 <.s t4 n cI PHONE NO.
ADDRESS /:;2., 3 q OJII't r:; E S + C rJ )-e.",,-e 0 (,.t2. .
RENTERR " (1\ L fI..s.s i- I/V1Aud "v) p 1-/-e(lll'~~ 7 '17 -3 /' 8" g:-'
SIGNATURE OF OCCUPANT (RENTER) '-f[.{d ~~
FOR ACCESS TO PROPERTY - TELEPHONE NUMBER 7 Y7- S 78" 0
TYPE OF DWELLING: SINGLE FAMILY 0 DUPLEX ~MULTIPLE 0
BRIEF DISCRIPTION OF MAJOR PROBLEMS: !AJA.-+ -e R L e r1 k J'y') 9:.- 1- h (' e L-<. )
v
Qpili'iIltY-:- RncJ +11/leW /,'rJ-h-J- /----;')(-f.--e~ r Vl
7< r'-i-c h i,1) ~ ,
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