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PUBLIC WORKS <br /> `'`"`'`c�` INSPECTION REQUEST <br /> � Address �i Z'�i-3_- �-�-`-r 1�c,/� <br /> / �_."�--s� �- --- <br /> Contractor �( . —' <br /> _�_`f �. <br /> Owner �� � ; .� � <br /> i <br /> Date� �i <br /> Time <br /> TYPE OF INSPECTION REOUESTEO <br /> " � SIDESEWER ���'� �.r/c �j �nt <br /> . CURB/GUTTER/SIDEWALK ��" �� �� -{ �-•-� �� � S %�' <br /> STREET / <br /> . � ._ �.��s.T� a�. �;__ �� . -� <br /> _'_—y f..=-1 - <br /> INSPECTION REpUESTED ON1Q���';l , > ' , <br /> � 1=_2_- <br /> APPROVAL C1 PARTIAL APPROVAL <br /> I ] VIOLATION ❑ CORRECTION REQUIRED <br /> � Correc!ions listed below MUST pE MAD[ bofore work can hr app�,,.,,,,� <br /> . Plerase con�act inspector and arran�e for appoin�men�. <br /> ' i Was not able to perform inspection. <br /> �: ' CALL 259-8810 FOR REINSPECTION - zq hour noUce required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTt (i � �rd <br /> TI1E PREMISES PpIOR TO OCCUPANCV�./ � /' <br /> �. •r F---�{�_r��— 7I.-c <br /> ---�� � . C'. �n� � ��- o �' �t "- <br /> L� <br /> - '' �- /'L�� r– G� �' � <br /> ,_ <br /> �F <br /> ^/� 3 ' e� �. /o e s � -�—�l.�.'� . <br /> _ _-4� c _ <br /> ---f� , <br /> ' � i <br /> _�_ <br /> / %j' � .� � - <br /> Inti��nr.(nr � ' � -' / <br /> (— � � .� '� • .� '`ti.. ___ flntrfL'�_.�71`� _ <br /> � <br />