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PUB��c woRKs <br /> INSPECTION REQUEST <br /> Address �02�/ /��QQ s �.�_______ <br /> Contractor ��'Tw �, —� <br /> Owner Sa «. c � <br /> Date_/�i�_( 4 ( Time <br /> TYPE OF INSPECTION REQUESTED <br /> 7 SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWA�K <br /> ❑ STREET <br /> � / <br /> � - �/ K G <br /> INSPECT�ON REQUESTED ON @ <br /> DATE iIME <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> C Corrections listed below MUST BE MADE before work can be approved. <br /> C Please contact inspector and arrange for appointment � <br /> ❑Was not able to perform inspeciion. <br /> ❑ CALL 259-8810 FOR REINSPECTION—24 hour notice required. <br /> A CERTIr'ICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISE,S �RI'OR TOOCCUPANCY. <br /> Inspector DateQ �- `� <br />