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4 PUBLIC WORKS <br />:77- INSPECTION REQUEST <br />Address <br />Contractor <br />Owner rri Nvl (1Rt� <br />Date 5 - &-I - R _ Time <br />TYPE OF INSPECTION REQUESTED <br />Li SIDE SEWER <br />Pto <br />❑ CURB/GUTTER/SIDEWALK <br />J <br />INSPECTION REQUESTED ON <br />IIAI{ Rq <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact Inspector and arrange for appointment. <br />❑ Was not able to perform Inspection. <br />❑ CALL 259.8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />f7s'f.ff <br />Inspector <br />