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No"ru.,
'ro PERN41TAN ANDIOR WATER
, 09
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El PA R11 A 1, A P P R OV A 1, QSRECTION RE,QUIRED I NFORCEMENI'VIOLATION
........... . ..... . .......... Number--... . ........................ . .............. .................
Job Address MAntact
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Typeofinspection . .......... . . . ....... . . . . . . . . ................. . ........ . ........................... -
WORK DES0UHM) BELOW HAS BEEN INNAWD ANDAPPROVED.
APPROVED PLANS ANW(Ai (,ARDN,a.js'r BE AVAILAM.E 11) INSPE(WR ON srrE.
(A)RRECIIONS LISTED BELOW MIJSTB14VIADF: BEFORE AVORK CAN BE APPROVED ANDX)R TnE
NEXT141ASE OFWORK IS STARTE,,!).�
RECALL FOR INSPEC'FION.
REINSPE(IFION FEE'MUST BE PAID PWOR'll'O NEXTINSPEX,110N REQUEW
12—STOP WORK -UNTIL AU1110RIZED'11) CONTINUE BV CITV INSPE(AWR.
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Date
Inspector
r1i"IS NGTKIE rrO REMAINON SITE
Whfle� Permit File Buff: Applicant