8618 XAVIER WAY 2016-01-01 MF Import

PI�BLIC WORKS INSPECTION REQUEST Address ��0/� ,kn�/jA�%1.b�/ Contractor Owner Date Time TYPE OF INSPECTION REQUESTED GSIDESEWER ae��k�f g2/3�J./ C CURB/GUTTER/SIDEWALK y t ❑ STRE�T � ��7,- %/,titN��- INSP CTION REOUESTED ON @ �A,r ,��•� ❑ APPROVAL ❑ PARTiAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector and arrange tor appoinlment. ❑ Was not able to perform inspection. ❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON THE PREMISES P710R TO OCCUPANCY. i' � � ' ; Inspecto �v� , Date � �� i�