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FIJBLIC WORkS <br /> �'"��ect INSPECTION R�QUEST <br /> � Address �'l�b • �.u�u� S[JS-- <br /> Contractor D�� <br /> Cwner _��L.d�- <br /> Date ��. Time <br /> TYPE OF INSPECTION RFOUESTED <br /> �1 SIDE SEWER <br /> [7 CURB/GUTTFR/SIDEW�LK <br /> f7 STREET . /�, <br /> Y' y�.�/�/A .__.._ - <br /> INSPECTION REOUESTED ON (�il <br /> no� b�e1 <br /> ❑ APPRI�VAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> '1 Co�rections listed below MUST BE MADE before work can be approved. <br /> I : Please conlact inspector and arrange lor eppointment. <br /> ❑ Was not eble to pertorm inspection. <br /> ❑ CALL 259�8810 FOR REINSPECTION—24 hour natice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> , � <br /> Inspecto ��� ��� ----Date ������- <br /> , �' <br />