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4828 ELM ST 2016-08-11
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4828 ELM ST 2016-08-11
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Last modified
1/12/2017 8:04:45 PM
Creation date
8/11/2016 2:20:06 PM
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Template:
Address Document
Street Name
ELM ST
Street Number
4828
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�;:.;.. <br />s.,,;�. <br />. �-_ <br />,{, : ✓�— <br />,: <br />�n��ii����'n�� , �u��.i� ���vrc�� <br />INSPECTION REQUEST <br />, G <br />Date:9-Q�—��.�Permit: G�I��r� -'- �'¢ <br />Project / Owner: <br />Contractor: ��//�/�f� <br />Site Address: - -g�Z-� ����/�%�. - - ____ _ _ _ _- - -- <br />� TYPE OF INSPECTION REQUESTED <br />Sewer S stems [� Street / Road Base <br />, Storm Drain Systems '_ ] Roof / Footing Drains <br />! Water Systems �, �, Public Works Final <br />I � Curb / Gutter / Sidewalk <br />I -1 Other: <br />_ -______--- -__________ _____ <br />S�APPROVAL <br />J VIOLATION <br />( � PARTIAL APPROVAL <br />!, � CORRECTION REQUESTED <br />[_] Corrections listed below MUST BE MADE before work can be approved. <br />I I Please contact inspector and arrange for appointment. <br />� � Was not able to perform inspection. <br />I�� CA�� (�25) FOF3 F3ElNSPC�'�9b�1 - 24 hour notice required. <br />,�i'�/� � i�C/ a� <br />_ _ _ �i`-1__ __ <br />—__ -- -- -- ___ <br />- �- <br />Ins ector Date � � � �� <br />P----- -- -- <br />EPSIR (b/09) �ATABAR, INC;. , <br />
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