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PUBLIC WORKS <br /> ����'«''� INSPECTION REQUEST' <br /> e � __ <br /> Address �' �' ��� � �n� � � <br /> Contractor <br /> Owner <br /> Date /� —�� / ^ Time <br /> �� <br /> TYPE OF INSPECTION REOUESTED <br /> f 1 SIDE SEWER <br /> � 7 CURB/GUT- �Ri51D[W�LK <br /> f7STR[ET <br /> � — ----- --- <br /> INSPECTION REOUESTED ON ���' <br /> �„�� ���.�t <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑Corrections listed below MUSI BE MAOE before work can be approved. <br /> ❑ Please contact inspector end a«ange for appointment. <br /> ❑Wes not eble to perlorm inspection. <br /> ❑ CALL. 259-8810 FOR REINSPECTION—24 hour notice required. <br /> A CERTIFICATE UF OCCUI'ANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> �i�/ !.Til-li lLD/�Jh i fiL� iI�LP� RLt. � <br /> Inspector Date <br />