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PUBLIC 1MORKS <br /> `'�`'�`'" INSPECTION REQUEST <br /> � Addrrss _7_c�_aJ '3 (.( � l � c_ 1?� <br /> "---�.�c <br /> Contractor _��,� � <br /> ---__- <br /> Owner 5 <br /> Uate�� -- _ <br /> —�—L_ 7ime <br /> TYPE OF INSPECTION REOU[STED <br /> � � SIDE SEWER (�n.,/< <..' �o'� �,,.,� r � <br /> � CURB/GU7TER/SIDEWALK (�1.�� i' �n� (, <br /> STREET <br /> �� I / <br /> •—'�+---�-LvL <br /> INSPECTION REQUESTED pN_ 2 � <br /> c„�� / �' <br /> �,:. — ��„ <br /> I PPROVAL '7 PARTIAL APPROVAL <br /> I7 OLATION O CORRECTION REOUIRED <br /> � � C;orroctions listed nelow MUST BE MADE belore work can b�� ,� <br /> . - Plnase r,ontar,l inspec�or and arrany� lor appoinlmenl � <br /> � I Was not able lo pertorm inspection. <br /> ' CALL 259�8810 FOR REINSPECTION — 2q hour notice reqw� <br /> A CERTIFICATE OF OCCUf'ANCY SHALL BE ISSUED AND I'� � i i . �. <br /> Tf IF PREMISES PRIOR TO OCCUPANCY. <br /> - — c e �C — �-- . <br /> � <br /> r �`�--��-�i� <br /> l <br /> -----__�_ <br /> Insp���.loi /' � � - , <br /> —E-c .i-=- � �� <br /> �y' T r . . Dnl�•� ��! /!' <br /> . <br />