HomeMy WebLinkAbout16th St Between D&E - Building
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(phone. person)
Location of Work to be inspected
Name of person requesting inspection
'Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
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Permit No.
Final Sewer Excav, Other
INSPECTION NOTES:
Inspected: Date
Remarks:
Time By
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RESTORATION REQUiRED...... YES NO
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D Unimproved DGravel
D Repaired by City
D Repaired by Permittee
D No Damage Found
D Asphalt D PCC D Other
Work Order # No.... tv vL>\it -1_
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
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