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PUBLIC WORKS I <br /> INSPECTION REQUEST <br /> Address �j � O 3 ��,; 4_ a �� <br /> Coniractor s .�L <br /> wner �� . '-�. � <br /> Da�e���_Q�_ Time <br /> TYPE OF INSPECTION REOUESTED <br /> SIDE SEWER � O "� � � <br /> ' i CURB/GUTTER/SIDEWALK <br /> STREET <br /> —�to.��.--G��iu_k__v....L_ <br /> INSPECTION REOUESTED ON C� _ <br /> f�eq IiMt <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> 17 VIOLATION ❑ CORRECTION REQUIRED <br /> : ! Coneclions listed below MUST BE MADE belore work can be approved. <br /> : ; Please r,ontact in�pedor and arrange lor appointment. <br /> i7 Was not able to pertorm inspection. <br /> Ci CALL 259-8810 FOR REINSPECTION — 24 hour notice requi�ed. . <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> �I1E PHEMISES PRIOR TO OCCUPANCY. <br /> �� t � a � <br /> lo < <� , s-,. <br /> Inspector Date /�_��L <br />