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PUBL�C WORKS <br /> ��SpECTIQN REQUEST <br /> Address � °��-- � li <br /> � � <br /> Contractor i <br /> pwner <br /> (�n �� !' --� � <br /> Date��-t�� Time <br /> TYPE OF INSPECTION REQUESTED <br /> 7 SIDE SEWER <br /> CURB/GUTTER/SIDEWALK <br /> i] STREET � 3��/�3 <br /> ❑ �PC /er ��Q'�— <br /> INSPECTION RECIUESTED O lp�� @ �— ��•�—t <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED � <br /> I; Correclions listed below MUST BE MADE before work can be approved. <br /> i I7 Please conlad inspeclor and arrange tor appointment. <br /> � ❑ Was not able to pertorm inspection. <br /> ❑CALL 259•8810 FOR REINSPECTION — 24 hour notice required. <br /> ITHE PREMISES PRIOOR TO OCCUPANCYE ISSUED AND POSTED ON <br /> � <br /> � I <br /> �� i�� � <br /> _ ^,_ , '' O l'Gt D Go'� i, <br /> J .. � Uc� o� <br /> � <br /> i <br /> � <br /> 1 <br /> , .a � � <br /> Q . Date / I <br /> Inspector <br />