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� �UBLIC WORK� <br /> INSPECTI�ON REC�UEST <br /> Address _� rI 2 � ��?o,��?� <br /> n � i — <br /> Contractor _ ��a�p � S <br /> Owner ��� ,, e..c ��44 �-I�1Lr��-- <br /> Date � ^-r� rime <br /> TYPE OF INSPECTION REQUESTFD��� <br /> �I�E SEWER <br /> �-: CURB/GUTTERlSIDEb'VALK <br /> STREFT <br /> - - �!/ � �� �-� <br /> INSPECTION REQUESTED ON /� 4� @ �� /S <br /> E 11ME � <br /> APPROVAL G PARTIAL APPROVAL <br /> ❑ OLATION ❑ CORRECTIny RE�uIRED <br /> '-' Correc�lon� !isteC Gclow MUST BE MADE before work can be approv�;d. <br /> J please contactinspectorand arranc�eforappointment. <br /> ❑ Was not able to perform inspeciion. <br /> � �� CALL 259-8810 FOR REINSPECTION - 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHAL� BE ISSUED AND POSTED ON <br /> THE PREMISE� PRIORTOOCCUPANCY. <br /> `� �'. <br /> Inspecto�__�-� � p3+� /� <br />