Laserfiche WebLink
r <br /> I <br />� � <br /> � y <br />, b� M <br />, � Htq <br />' H�� <br />' tC f] <br /> '�I�� <br /> � �Hx <br /> �HC <br /> ��g <br /> j �� � <br /> I � y� <br /> Hy <br /> 8� <br /> H <br /> f�C7�n <br /> ��� PUBLIC W�RKS <br /> �tt INSPECTI N REQU�ST <br /> Address ���_� " � ��— �� <br /> � ��""rs " " ` oe <br /> ,(�'Contractor °�-L <br /> � / ' ,� �"�'nca"_''�'�. <br /> Owner ,�--� <br /> Date O` � � �/ Time �� �� <br /> TYPF OF INSPECTION REQIIESTED <br /> IDE SEWER <br /> '�1 �URB/GUTTER/SIDEWALK <br /> ' ' ❑ STREET <br /> � ❑ c� / <br /> '�' INSPECTION REQUESTED ON � / �—���--- <br /> Uh�F itil <br /> 1�I APPROVAL ❑ PARTIaL APPROVAL <br /> �1 <br /> VIOLATION ❑ CORRECTION REQUIRED <br /> '� ❑Corredions listed below MUST BE MADE before work can be approved <br /> ❑ Please contact inspector and arrange for appoinlment. <br /> � ❑Was not able lo perform inspection. <br /> ' ❑ CALL 259-8810 FOR REINSPECTION —24 hour notice required. <br /> A CERTIFIC�ITE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> ' THE PREMI:iES PRIOR TO OCCUPANCY. <br /> 1 <br /> i <br /> -i �� I <br /> , o a � <br /> �' � <br /> - <br /> , <br /> -� � <br /> i� <br /> ��Q-� ' � "I <br /> Inspector �.��, Dale � . � <br /> �v � <br />