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PUBLIC WOI�KS <br />fiHSPECYION REQt�1l�ST <br />�7 � / <br />Address 73 3 G� _� �,, e,. (� ,` <br />Contractor _����,�,_J�,..�,�� _, <br />Owner <br />i <br />Date .22�P 5 <br />�.�, <br />Time <br />TYPE OFINSPcCTION REQUEST�D <br />�IDE SEWER <br />I : CURB/GUTTER/SIDEWALK <br />- STREET <br />INSPECTION REQUESTED ON3 //� �� ¢� <br />—/�:..F,— ----- ,c�i �— <br />_ F,PPROVAL ❑ PARTIAL APPROVAL <br />❑ VI(�LATION ❑ CORRECTIGN REQUIRED <br />�.' Corredions listed below MUST BE MADE before work can be a��pr�,�.r.�f � <br />!-: Please contacl in;pecror and arranye lor appoinirnent. <br />❑ Was not able to perform inspection. <br />G CALL 259�8810 FOR REINSPECTION — 24 hour notice requued. <br />A CERTIFICATE UF OCCUPANCY SHALL BE ISSUED AND POST[D ON <br />TH[ PREMISES PRIOR TO OCCUPANCY. <br />Inspedor i„G���.-�.CL�+-�-- Dato`/. <br />