Laserfiche WebLink
� -�� I <br /> PUBLI�C WORKS ' <br /> INSPECTION REQUEST ' <br /> Address �D u �-'�'� <br /> Conlracto� <br /> > � <br /> Owner �a� c�• c — <br /> Date���4�" Time <br /> TYPE OF INSPECTION REOUESTED <br /> � SIDE SEW[R <br /> '. � CURB/GUTTPR/SID[W�LK <br /> STf7EET J <br /> . . 1 'f T� �/w � <br /> INSPECTION REOUESTED O� � ��E �' @ �„`�O <br /> �(AFPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION O CORRECTION REQUIRED <br /> n Cor�ections listed below MUST BE MADE belore work can be approved. <br /> I i Ploase comecl inspector and arrenge for appoinlmenl. <br /> ❑ Was not able lo perform inspection. , <br /> u CALI 259•8810 FOR REINSPECTION —24 hour notice requlred. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POST�D ON 'I <br /> THE PREM SES P IOR TO OCCUPANCV. <br /> � � <br /> , <br /> . ^ <br /> �=z� <br /> � i <br /> . <br /> e <br /> O - <br /> ---.— <br /> i <br /> I�i <br /> Date � yy <br /> Inspector _ — <br />