87-133
AINSLEY
it DEVELOPMENT, INC.
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Dpa r Greg;,
AI i thR nerpssar~- impJ-O\-pmeDTs t'OT rn0 8.00\-0 rpf'prpnced pI:~.ler7
113'\:e bepn complet,,,,,rj at this T.imp, and ..,e ,,,"1del. no", LIke to
scheduie for the j'inai
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if you shcujrl have
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f}llest,j,ons. orhan1\: :,'--Jil j,n. a(t'\~atlce t'()r '~.-(;ljT' 3SS1:.=;ra:':c"{:_'. rp.s;a C-.iY"',::"':;
this matter.
Sincerely.
Bommarito
CIS/cmo
2195 HAMILTON AVENUE, SAN JOSE, CALIFORNIA 95125.408/559-1117
p.o, BOX 7583, SAN JOSE, CALIFORNIA 95150
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PUBLIC WORKS INSPECTION REPORT
Date ~4~c; Permit or Project No. . B 7-/J.:!
Address 10'4 - foe, .~ t::= i....' P4J1~
j
Type of worka Street Storm Sanitary Electrical
Other (describe)
o PRELIMINARY INSPECTION WITH DEFICIENCY LIST (Attached)
o FINAL INSPECTION WITH DEFICIENCY LIST (attached)
o FINAL INSPECTION - ACCEPTANCE
Signed plans? Y N (If .igned, Council Acceptance.)
Charges against deposit? y
Overtime. hrs. @ $
Date" reAsona
N
Ihr.
-
$
Barricade rental (attach invoice)? y N
Date " reasona $
Other? $
$
~otal chArges deducted from deposita $
(Cash Depo&1 t $ less charges $ - Refund $ ck. req.)
DONE YEAR MAINTENANCE WITH DEFICIENCY LIST (attached)
~EAR MAINTENANCE - ACCEPTANCE
(ReleAse'maintenance bond. Check Request if cash.)
Engineer
16