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PUBLIC WORKS <br />�Vef« INSpEC'�'ION REQUEST <br />� Address C� �� ��I/���/v� <br />Contractor _ <br />Owner <br />Dale_�1�(�� iime <br />TYPE OF INSPECTION REOUESTED <br />n SIDE SEWER <br />f!CURB/GU7TER/SIDEWPLK � <br />�TR T� � <br />J` <br />INSPECTION RE UES7 D ON G� <br />..� <br />APPROVAL ❑ PARTIAL APPROVAL <br />C] IOLATION ❑ COFRECTION REOUIRED <br />;l Currectwn51i5ICd 6elow 1dUST BE h1ADE beiore work can be approvetl. <br />:: Please contact inspector and anan9e lor appoinbnent. <br />❑ Was not able to pedorm inspeclioa <br />❑ CALL 259�8810 FOR fiEINSPECTION — 24 hour nolice reQuirea. <br />AC[F1IFICATE OF OCCUPANCf SHALL B� ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />�m�tuer�ol �-Cl�%t�—� � �,� . _. _ — ea�e/C��';�� . <br />