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� ' , ' . � . � ' . �- . . . � .. �'. <br /> � � . . � - . . . . . � i'. <br /> PUBLIC WORKS <br /> . INSPECTION REQUEST <br /> Address ��� �t ` �� n <br /> • Contractor <br /> -----_— <br /> � <br /> Owner ; �v � <br /> Date � <br /> l Time <br /> TYPE OF INSPECTION REQUEB,'ED <br /> ❑ SIDE SEWER � <br /> • � ❑ CURB/GUTTERiSIDEWALK <br /> , _, � ❑ STREE7 <br /> . ❑ ��., s'�,� � � <br /> . . Q <br /> INSPECTION REQUESTED ON - <br /> � �APPROVAL ` @ '— '� <br /> " ❑ VIOLATION � PARTIAL APPROVAL <br /> ❑Corrections Iisted below MUST BE O p ORR�Wo kQe q eq��RED <br /> ❑ Please contact inspector and arran0e tor appointment pp�oved. <br /> ❑ Was not eble to perform inspection. <br /> ❑CALL 258•8810 FOR REINSPEC710N—�q hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY, <br /> _ '� . �, � �n <br /> . , ,J _ <br /> : ` <br /> �� <br /> _ . Inepector /�' ' � � <br /> Date <br /> I <br /> . <br /> �.^' <br /> . . � , . <br />