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PUBLIC WORKS <br /> �'�f'«'« INSPECTION REQUEST <br /> � Address ��� C�� n �iV <br /> Contractor <br /> Owner - <br /> Da�e����� Time _ <br /> TYPE OF INSPEC?ION REOUESTED <br /> �SIDE SEWER <br /> Il CURB/GUTTER/SIDEWALK <br /> [7 STREET <br /> Ll _ — <br /> � INSPECTION REQUESTED ON �' ? ("�,��C� <br /> APPROVAL ❑ P.4RTIAL APPROVAL <br /> ❑ IOLATION Cl CORRECTION REQUIRED <br /> f l Corrections lisled below MUST BE MADE belore work can be approved. <br /> f '. Please contact inspector and arrange for appointmen�. <br /> l7 Was not ebla to pertorm inspection. <br /> lJ CALI 259•8810 FOR REINSPECTION —24 hour notice requir��d. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND PUST[=D ON <br /> THE PREMISFS PRIOIt TO OCCUPANCV. <br /> Inspector / / � ---Oale�C � ,[� <br />