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i <br /> PUBLIC WORKS <br /> INSPECTION REQUEST <br /> Address ����3 ��� �� t�.� <br /> Contractor �� �'` ----'-- <br /> i� <br /> wner Z' �` — <br /> D��e����--� Time --- <br /> TYPE OF INSPECTION REOUE!1STED�3 <br /> �IDESEWER �v � <br /> ! CURB/GUTT[R/SIDEWALK <br /> STREET I <br /> ---5� a�`--- ' <br /> INSPEGTION REOUESTED O , ,�, <br /> � <<� , � � <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> f 1 IOLATIUN ❑ CORRECTION REQUIRED �' <br /> . � Goncctions listed below MUST BE MADE before wock r�n be approved. <br /> � Please con�ect inspector and arrany� loi apPoinlmeM. <br /> ; '� Was not eble lo perform inspection. <br /> I ��� CALL 259•88;0 FOR REINSPECTION — 24 hnur notice �e4uired. <br /> A C[RTIFICATE OF OGCUPA�ICY SHALL BE ISSUED AND POSTED ON <br /> TFtE PREMISES PRIOR TO OCCUPANCY. <br /> � _���_.-T`��- <br /> � �. � r s . <br /> n —. <br /> - 'V t — <br /> — oT�� 7 -�� <br /> Insper,tor - <br />