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PUBLIC'iIVORKS <br />IIVSPECTION REQUEST <br />Address �� �Yv�� hk_e��/ <br />r <br />Contractor <br />n . <br />Owner ? / / �-� � � 'r --- <br />Date��� Time _ -- <br />TYPE OF INSPECTION REUUESTED <br />f�51DE SEWER <br />❑ CUFB/GUTTER/SIDEWALK <br />❑ STREET <br />� • � ❑ ------.. <br />INSPECTION REOUESTED ON"� � D � �— � � -fD -�Q_. <br />,,.�� „� <br />�APPROVAL �7 PARTIAL APPROVAL <br />IOLATION [l CORRECTION REQUIRED <br />i:: Corrections listed be'ow MUSi BE MAUG before work can be approved. <br />f_' Please contact inspec�ur and arranye lor apP�����ment. <br />❑ Was not able to perform inspeclion, <br />❑ CALL 259�8810 FOR REINSPECTION —:' hour notir.e requn��d. <br />ACERTIFICATE C)F OCCUPANCY SHALL ['�I I`,��SU[D ANI� i'Oti�CII ON <br />THE PREMISES PRIOR TO OCCUPANCY <br />> �----- <br />' C` G v—'—= - --___ _ _ <br />�� / b����� �, ! ��� � - <br />_ -�� ,- <br />InsPector ��1,������� - - . _.D,�i�•�i//r � <br />