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PUBLIC WORKS <br /> INSPECTION REQUE�T <br /> Address �� � � �0 5 •`• o <br /> Contractor _ __ _ <br /> Owner �-ti•.�1_?�-�.-� —___ <br /> Date � 1 ��_ Timr, <br /> T�PE OF INSPECTIVN REQUESTED <br /> ; , SIDE SEWER <br /> � � CURB/GUTTFRiSID[WF1LK <br /> STREET � <br /> � ,�-=.`a�-- -------- <br /> INSPECTION REQUESTED Ot�_ G��. <br /> 1�411 l'1�( <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REOJIRED <br /> fl Corrections lisled be�ow MUST BE MADE before work can bo aiqnovcd <br /> f 7 Ple�se conlact inspertor and arrnnye loi apP�intment. <br /> ❑ Wes not able to peAorm inspection. <br /> ❑ CALL 259�BB10 FOR REINSPEC7IQN— 24 hou�notice requhed. <br /> A CEFiTIFICATE OF OCCUpANCY SHALL BE ISSUED �ND POST[D ON <br /> THE PREMISES pRIOR TO OCCUPANCY. <br /> Inspector � + _—_Datr� ���� �{ <br />