Laserfiche WebLink
PU�LIC WORfCS <br /> INS�'ECTiOI�i� R�(����� <br /> / /� � h �� C <br /> Address _ / � <br /> Contractor _ � <br /> Owner ` ` � <br /> Date�(—��— Time <br /> TYPE OF INSPECTION��ES�E� � / <br /> �{i l <br /> `, SIDE SE�VER <br /> � ❑ CURB/GUTTER/SIDEWALK <br /> rJ STREF.T <br /> ❑ -----" Z' � <br /> —i_�—. �C / nr.�.e <br /> INSPECTION REQUESTED ON ��,rt <br /> �PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIPED <br /> ❑ Correcticns listed belo��i MUST BE f�1ADE before work can be aPProved. <br /> ❑ Please contact inspeclor and arrange for appointment. <br /> ❑ Was not able to perform inspeclion. <br /> ❑ CA�L 259-8810 FOR REINSPECTION — 24 haur notice required. <br /> I THE PREMISES PRtOR TO OCCUPANCYE �JSUED AND POSTED ON <br /> ___--- <br /> L- <br /> _---- <br /> Date ��!F-LI- -�(�—�'� <br /> Inspectoi _ � <br />