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PUBLIC WORKS <br /> evere« �NSPECTION REQUEST <br /> � Address ��lp`v�) L�� _ <br /> Contractor <br /> Owner � �,� na�3 <br /> Date S'r[(/—� S Time <br /> TYPE OF INSPECTION REOUESTED <br /> �SIDE SEWER ����L SLWC� �('�M� f <br /> ❑CUFiii/GUTTER/SI EWALK �9�� <br /> ❑ STREET <br /> ❑ <br /> INSPECTION REQUESTED ON ca <br /> Dalf OC�f <br /> ❑ APPROVAL O PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑Corrections lis�ed below MUST BE MADE belore work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not able to peAorm inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION—24 hour notice requi�ed. <br /> A CERTIFICATE OF OCCUPANCV SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> Insper.tor Date <br />