Laserfiche WebLink
ti <br />�ro <br /> ��� �r, <br /> .F��q p Y� ,.,.�.,� . <br /> , �� } � <br /> �`� �a <br /> 1 el��� <br /> 1��� <br /> � . <br /> �� <br /> Qr <br /> �y <br /> �y ; _... , _ _ <br /> �°'y !��!me�+r�sm��,,,,h���;.;;� _ .t_._. ._ <br /> ��A � _ 1 . <br />' ,: �� PUBLIC WaRKS <br />' ` — � INSPECT�ON RE(�UEST <br />,. <br /> '-" Address _tri i-[/�S�lJlrrlXJL� ( r <br /> `� + h <br /> i..q H'7�i�1�: � _. <br /> ,3 ,,.. ., Contractor <br />� <br /> � Owner �D�?1. <br />� r-� <br />, Date�p�7L Time <br /> f !�__ TYPE OF INSPECTION REQUESTED <br /> i <br /> � <br />. . .,.TM� ; ❑ SIDE SEWER <br /> ❑CURB/GUTTER/SIDEWALK I <br />�� ���I - ❑ STREET <br />' t �jN����,y�T���_1�=G� ln�coard I <br /> ' ��� � �� TIONREQUESTEDC�L— o4i1 �— `` �„� <br /> � ���� ; <br /> � ' ��APPROVAL ❑ PARTIAL APPROVAL i <br /> � � OTIOLATION L CORRECTION REQUIRED i <br />' L�' I <br /> ❑Corrections listed belov+ MUST BE MADE before work can bc aPP�uved. <br />� � � '7 P�ease contacl inspector and arrange to� appointmenL � <br /> , ,9 ❑Was not able to perform inspection. � <br /> � ❑CALL 259-BII10 FOR REINSPECTION —24 hour notice required. <br /> � ` A CERTIFICATE OF OCCUPAPJCY SHALL BE ISSUED AND POSTED ON <br />,� ��`��`� ��'� ^ THE PREMISES PRIORTO f1CCUPANCY. I <br /> , �. � <br /> I F -- I <br /> I - t <br /> � � <br />� , �f..'[ _� i <br /> LA <br /> � � � <br /> 1.�f:', �1� � �� <br />; I <br /> T <br /> ''�y — <br />� . + , i <br />� � Inspector ?_ � � � Date � �� — <br /> /� <br /> I <br />