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PROCEDURE FOR IN9FECTION REaUEgTs
3ALL 12b+1ba (RECORDER ) 9TATE YOUR CITY D=9IGNAT=D io3 NL'|-13=,R, JOB ADDREgg,TYP= GINSP=CTiCN.t REAU=9iED AD TIJHEN Y,OU UILL B= R=ADY FO,R iNSP=CTtoti,CC.InNT,RACTOR9 OR OU.NERS NA}.1E ADPl.lc'|,.IE NI.JI'1tsER REAU=sT5 RECEI\G D BEFORE 1,,O@ /;1 UILL A= HABE Ti{= gAi-1E DAY, REAUESIS #lERitooIUILL BE I.1ADE THE NEXT IUORK|NG DAY
EXl9TlM.: BUILDING FEBIIT NO. ( IF APPLICABLE )
*YOUR CITY DESICNA'TED JOB NO.,sf I 4C sc'AgEE BOOK
gIDEIUALK / DRI\GUJAYrcR ALL CONCRETE PAViNG IUITHIN
THE sTR=ET RIGI]T OF IIJAY, TO 3EIIADE A=TER ALL EXCAVATING
19 cotlPLETE Al',iD Fosl u/oR<AID 5UB-3A5= T1ATERIAL I9
IN PLACE
CURB / APPROACI-.I APRON,
AF,'ER FORI15 A, ERECTED
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COMI1ERICAL DRI\€ITJAYg SHALL.ze HAVE >'ro 6,FLAIR9
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I i"la\€ CAR=FULLY EXAFIINED TrrE coi'IpLETED AppLtcATioN FoR pERilir, AND Do HER=Bv cERTtFy -IHAT ALLINFoBIATIoN tlER=oN l9 TR,IE AND coRREcT. AND I FURTHER CERTIFY 'ii-lAT A\Y A\D ALL ilr"R< PEE=OR-1EDSHALL BE DONE IN ACCORDANCE II]ITH TI{E ORDINANCE, G THE CITY OF 9PRINT.:FIELD, AND THE LAUS cF T{-,lE
51A1E CF OFEGON PER]A\N\NG ]O lHE UOR< DESCR\BED \-IEREIN. AND THAT NO OCCUPANCY UILL BE I1ADE
OF ANY 5IRJCIUFE U\IHOJI PER1\55\CI.I CF 1\{E BU\LD\NG D\V\5\ON \ FURTI{ER CERT\FY lIi.IAT ONLY CONTR,ACTORg
\!\TI{ OR3 1O\O>> \!ILL BE USED ON TH\5 PROJECT
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