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PllBLIC WORKS <br /> INSP'ECTION REQUEST <br /> Address __��_D$ CCtSSn�/' ----- <br /> Conlractor ___ _ --- - <br /> Owner ��"� - <br /> p����_f O - 13- 9'� Time _ — <br /> TYPE OF INSPECTION REOUESTED <br /> i: SIDE SEWER /�r�n�� C/,3l�/2� <br /> :' i CUFB/GUTTER/SIDEW�LI< <br /> ;', STREET <br /> x ��� ---- - - -_ <br /> INSPECTION REOUESTED ON e ���' �„� <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORREGTION REQUIRED <br /> ! ! Corrections listed below MUST f3E MADE before work can be approved. <br /> ! 1 Please conlac� inspector and arran9e lor appointment. <br /> ❑Wes not able to pertorm inspection. <br /> ❑ CALL 259•BB70 fOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PR[MIS[S PRIOR TO OCCUPANCY. <br /> —— <br /> Inspectoi _ �i � / -_---DNe ���is��l-" <br /> i <br />