215 W MARILYN AVE 2016-01-01 MF Import

�ecrh� � � 3S � �s`� PUBLIC WORKS INSPECTION REQUEST Address _�`� t�. �GIC� \�� V� Contractor � U��IU � � � � U�. � �,�,` _, � Oevner �G y� �Y��t � C CC,r��'1-�` Date �— �, �� ' Time � �� TYPF OF INSPECTION REpUESTED �SIDE SEWER �� CURB/GUTTER/SIDEWALK �7 STREET INSPECTION REQUESTED ON 7—.i. I �� l. UU o:,.�. nmi. APPROVAL ❑ PARTIAL APPROVAL ❑ IOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE belor2 work can be approved. ❑ Please contact inspector and arrange for appoinlment. ❑ Was not able to pertorm inspection. ❑ CALL 259•8810 FOR REINSPECTION — 24 hour notice required. A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON THE PREMISES PRIOR TO OGCUPANCY.