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PUBLIC WORKS <br /> �'�E'«''� INSPECTION REQUEST <br /> � Address —_ - � , , . i � <br /> r, <br /> � i �Contractor � ' <br /> �� <br /> Owner �1 — <br /> , <br /> Date � ' 1�"�- 7ime <br /> TYPE OF INSPEGTION REOUESTED <br /> I 1 SIDE SEWER <br /> Il CURB/GUTTER/SIDEWALK <br /> f7 STREET <br /> � . —�_ / —�� .; — <br /> INSPECTIOi� REQUESTEDON_�� ' "�'� C�` l � � ' <br /> ,�.,�,� ����� <br /> Cl APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION �1 CORRECTION REQUIRf fl <br /> �. � Correchons listed br.low MUST BE MADE L�fore work can be app��� � <br /> �. I Please�contatt inspecto� �nd arron9e for appo�nlment. <br /> ❑ Was not able to perform inspeclion. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL �[ ISSUED AN� POSiEU UN <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> �� �, —_� <br /> - i f, .� �%.i. - .. �a �•-1 <br /> ' <br /> .�c � :� � /[ _ r..� , �� � , .��� r , <br /> �i ,�. .1. ��� i �r��'� � L� � -- <br /> -- 7 <br /> ___— <br /> �� � .'r.�. . -� �, � __ <br /> In�:pector �� — -- --Date� — — , <br />