Laserfiche WebLink
� <br /> PUBLIC WORKS <br /> INSPECYION REQUEST <br /> Address �d s�� '77� '�v� � <br /> Contractor <br /> Owner Gi NE L�4�''''°uRF_v�t i <br /> Date 2'—ZS s� Time � <br /> TYPE OF INSPECTION REQUESTED � <br /> ❑ SIDE SEWER ! <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> i� IniF[CTiev4-71o�✓ SYS7E�"� <br /> INSPECTION REOUESTED ON @ <br /> DtdE l�fdE <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> fi Correclions lisled below MUST BE MADE before work can be approved. <br /> [-: Please contact inspector and arrange for appoiniment. <br /> ❑ Was not ablt to perform inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THF PREMISES PRIOR TO OCCUPANCY. <br /> _�;.✓FrL7,2�Tr •✓ �'YS7Py'^ Fa�G ,QuuC— �o�✓ u/'f <br /> (�STA�LLEJ �! R.C��A,�E W�7� Clzy <br /> o� F, ,c,o;-7� 57.4�✓vA�l� - <br /> '/ � <br /> Insoector ��/�f' W Da�e z'2� —S <br />