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PUBLIC WORKS <br /> INSPECTION REQlJiEST <br /> Address _ 3 � � � � �� s •~ '� <br /> Conlractor <br /> Owner �D t ti-- 9 <br /> Date�- 6 �3 T�me — <br /> TYPE OFINSPECTION REQUESTED <br /> � ! SIDE SEWER � -�S � � �� <br /> f 1 CURB/GUTTf R�SIDLWPLK � �} � � � � � <br /> I ': STREET <br /> II �Pc��r—.�=�=ti.�-- ---" <br /> ' > <br /> INSPECTION REQUESI[D ON�1,G�9�— °P -� ,`, , <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ IOLATION ❑ CORRECTION REQUIRED <br /> ❑Corrections listed below MUST BE MADE before work can be approved <br /> r] please contact inspecicr and arrange for appointment. <br /> ❑Was not able to perform inspection. <br /> ❑CALI 259•8810 FOR REINSPECTION — 24 hour nutice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMIS[S �PRIOR TO OCCUPANCY. <br /> .�/ G( ' ��JC <br /> o . r / �"'- <br /> �� r � <br /> ,�,�- <br /> � ' <br /> ' ...Q " y''� <br /> � / Date LE{�_Ll- <br /> InspecYor ��s � <br />