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HomeMy WebLinkAboutBuilding Miscellaneous 1986-12-5 . ~ CcO'is''?O COURTESY INSPECTION APPLICATION (RENTER REQUEST) ~ -----=- ,.:::-- BUILDING DIVISION CITY OF SPRINGFIELD DATE /7 - \ - I{f, ADDRESS OF INSPECTION OWNER M t? _ C).90\Y'r~JV\ I '7 \7.<=-'1 P \ -PO Sa. nT ~+ "- PHONE NO. ADDRESS . RENTER ~ ~ \\, ~"leNr-h ~ SIGNATURE OF OCCUPANT (RENTEfl)/f;, if .FOR ACCESS TO PROPERTY. - TELEPHONE NUMBER ~ PHONE NO. Ie; /- '2...Ll3 G 7:;:;;; ~~ - ' ," .,'. TYPE OF DWELLING: SINGLE FAMILY ~LEX 0 BRIEF DISCRIPTION OF MAJOR PROBLEMS: MD \ 6 ~<~0--{.~r MULTIPLE 0 (~7'~W\j ikfflu-~U~ --\-Zl -p 0 C \" ~ '\ ~ 1/\ -\- "^'O LA.""f~r --rh-lt. ~{\V1-, <.(l . 9V\+l(..~ Ct~ ~6l.\<;~, <?lc. Y\~' '~J \::) \.A ~ FOR OFFICE USE ONLY ---~---------------------------------------------------------------------------------- Date of Inspection Courtesy Letter Sent Notice and .Order Issued To Owner . Date For Compliance Compliance Obtained - Date . ,A:?)j, PI te- f ~CoO~~ COURTESY INSPECTION APPLICATION (RENTER REQUEST) -- -----==- ;::::--- BUILDING DIVISION ;; CITY OF SPRINGFIELD DATE II - ,- \?b ADDRESS OF INSPECTION \7 (.., / pl'flOSCAV\-T ~+ OIVNER M t? _ C .-l90\ (' ('-{> iY\ PHONE NO. , ADDRESS r-; RENTER ~ ~ \\, ~'1G1/rh ~ SIGNATURE OF OCCUPANT (RENTEIl)~ U ~ PHONE NO. / CJ I - '2... LI ::5 G \ . 7~~ 7L/( ~c;J ~ L( -3 k FOR ACCESS TO PROPERTY. - TELEPHONE NUMBER TYPE OF DlI'ELLING: SINGLE FAMILY ~LEX 0 MULTIPLE 0 BRIEF DISCRIPTION OF MAJOR PROBLEMS: Mo \ ~ J('(JW \ j il,,'('(}\A,.~ LA ~ 9V1+1r--e. ko It, S '€. I b \.A ~ -1-Zl fO C \ \. '\~l/\ +, V\.'O O\.nd. <?lCllf\~ ' ,~ J ~ A '\6...+ 'E' r LA VLf-..Q.. r 1'1"..tL ~(\ Vl-t <.(l , FOR OFFICE USE ONLY Date of Inspection Courtesy Letter Sent Notice and Order Issued To Owner Date For Compliance Compliance Obtained - Date . w\(b<M \- \~~ i(0-f!JL\ ~cD ~ .