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PUBLIC WORKS <br /> INSPECTION REQUEST <br /> � Address ZQL� dAri2C /7F✓Q <br /> Contractor <br /> Owner 7�'�,�,�,/a �� <br /> Date�f=H� Time <br /> TYPE OF INSPECTION REQUESTED <br /> �_, SIDE SEWER �7.e�m��L �4�3� <br /> � CURB/GUTTER/SIDEWALK <br /> ❑ STREE� � <br /> 0�- <br /> INSPECTION REQUESTED ON Ca <br /> onre -���.rne <br /> �YAPPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑Corrections listed b�elow MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> C Was not able to pertorm inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> Inspector Date �b <br />