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PU�TLIG WOf�fC� <br />INSI�ECilO1V R@�U��� <br />Address _��_�_`��,��,�/��� <br />/ <br />Contractor <br />Owner �Qy��p��� — <br />Date__ -�i -�/_�_`-9%_ Time <br />TYPE OF INSPECTION REQUESTED / � � <br />( ; SIDE SEWER Lo�S <br />:-; CURB/GUTTEq/SIDEWALK <br />I STFi�ET <br />�c�P,� � 9�/�ls/ <br />INSPECTION REpUESTED ON � <br />DAif. � Lr,.l - <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />:] Corrections listed below MUST BE MADE before work can be ,ipprovt� <br />: i Please con�act inspector �nd �rrange for appoiniment. <br />❑ Was not able to perform inspection. <br />❑ GALL 259-8810 FOR REI��SPECTION — 24 hour nolice required. <br />A CERTIFIGATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />Inspector <br />D.,te S"1i�lr%— <br />