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��� <br />H <br />C H <br />9H� <br />C <br />H H <br />K r <br />H� <br />Ox0 <br />� M � <br />y H <br />H <br />�O <br />OHd <br />��g <br />�V nq <br />�HC+] <br />x <br />H F <br />y <br />n�N <br />�o� <br />r�r�� �a <br />/ <br />PUBLIC �A/ORKS <br />evere�t �NSPE�TION REQUEST <br />� Address �n� �i �[i , /i'1 /�G � <br />Contractor �` �� - <br />�, <br />Owner <br />Date � `�"�- 9� _ 7ime ��= � ��--� <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />� �,C.�� <br />hVSPECTION REQUESTED O�l 9 3D �I /@ �' <br />�pJ� 11ML <br />'�, APPROVAL ❑ PARTIAL APPROVAL <br />❑ IOLATICN ❑ CORRECTION REQUIRED <br />'�/ ❑ Correclions listed below MUST BE MADE before work can be approved. <br />❑ Plr.ase contact inspector and arrange for appointment. <br />��' ❑ Was rot able to perform inspection. <br />❑ CALL 259-BP10 FOR REINSPECTION — 24 hour notice required. <br />I�f A CERTIFI�ATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />�' <br />THE PRE�AISES PRIOR TO OCCUPANCY. <br />'� — <br />