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PUBLIC W4RKS <br /> INSPECTION REQUEST <br /> Address ?D��� `�'t �"� �—+.� <br /> Contractor �G� �'�-�<" - - <br /> Owner „ � <br /> Da�e����-- Time <br /> TYPE OF INSPECTION REQUESTED <br /> � � SIDE SEWER �� —T� <br /> CURD/GUTTER/SIDEWALK <br /> l <br /> STREET � <br /> �, �-�. _ .- .a`�,•�/'�L4�.. <br /> INSPECTION REOUE� � � �,� 9 �1�,'„� � <br /> f APPROVAL ❑ PAATIAL APPROVAL I <br /> � 7 IOLATION ❑ CORRECTION REQUIRED <br /> �l Correct�ons listed below MUST BE MADE belore work can be approved. <br /> f l Please contact mspector and arranye for appoin�ment. <br /> :l Was not able to pertorm inspection. <br /> I ' CALL 259•8810 FOR REINSPECTION — 24 hour notl:e required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> in�;n,�� t„ —� - - Date ���-�/ <br />