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i <br /> PUBLIC WORKS <br /> I�ISPECTION REQUEST <br /> Address ��v�� ` �R--�-� �' K�/-- <br /> Contrador s � �r__-��— <br /> r ` / <br /> �Wf1Cf — <br /> D�t�__l�.�p� T�me -- — <br /> TYPE OF INSPECI"ION REOUESTED <br /> �IDE SEWER �— � '� � � <br /> CURB/GUTTEA/SIDEWALK <br /> STREFT <br /> INSPECTION REOUESTED ON ,o t �� � �_y�� <br /> A"PROVAL ❑ PAHTIAL APPROVAL � <br /> I i VIOLATION ❑ CORRECTION R[QUIRED <br /> ' �Correr.lions listed Lelow MUST BE MADE before worM.can be appicvF�A <br /> � F'i��se cuntact inspector and ananye for apPo�nimen�. <br /> , � Was nol eble tc perform inspection. <br /> I I C4LL 259-BB10 FOR REINSPEC7ION — 24 hour nolice required. <br /> �CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISFS PRIOR TO OCCUPANCY. <br /> — -���f�--�7�-�—��' _ - <br /> //� <br /> ��r� � <br /> ��J r�'- <br /> _�-- �.���_ g/ � � <br /> �" � Date��� <br /> �nsp�ctor - <br />