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PIJBLIC W�RKS <br /> INSPE�TION RE�ilE�'1' <br /> Address �f�ZZ � /�'[Pii��^�-�{,_ <br /> Contractor <br /> Owner �I��. � �;,t n���(�t�G �)N�oP <br /> D�te '7'y y�9�0 Time <br /> �� <br /> TYPE OF INSPECTION REQUESTED ���' <br /> ❑ SIDE SEWER �J J��,{f� C�S/S� � <br /> ❑ CURB/GUTTE�/SIDEWALK �vV <br /> ❑ STREET <br /> 'r � - <br /> INSPECTION REQUESTED ON c= _ <br /> li4iL 11!'� <br /> PPROVAL ❑ PARTIAL APPROVA� <br /> ❑ VIOLATION ❑ CORRECTION REQU�RED <br /> i <br /> ❑Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALI_259•8910 FOR REINSPECTION — 24 hour notice required <br /> A CERTIFICATE OF OCCUPANCI'SHALL BE ISSUED AND POS ED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> Inspector _ � �� Dat<���� _ <br />