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PUBLIC WORtCS <br /> `'�`'""` INSPECTION REQUEST <br /> � Addr�, � L'� l� � ��.Q S CL) L�� <br /> SS _ ' __"_ _ -C - <br /> Con�ractor �„ <�_;_____ <br /> Owner � > � `_�__,__ <br /> Date�f�_c.{�Y/ T�n,e <br /> TYPE OF INSPPC11C1N 17�t�Uf STI"� <br /> :� � SIDE SEW[R <br /> I CURB/GUTTER/SIDEWAL f°. <br /> iSTREET <br /> � �—�—h e—_J 'S� <br /> INSPECTION REOUESTED ON.. ll1� � __ _ _���, <br /> � �, /�' <br /> ,,, <br /> APPROVAL C7 PARTIAL APPROVAL <br /> f 1 VIOL ATION [-1 CORRECTION REQUIRED <br /> � � Corre�fions listed bc'ow MUST BE MADE before work can be ���������:,�,i <br /> f'Ie,ise conlact inspecbr and orrange for appoiMmenl- <br /> � ��. Was not able to peAorm inspection. <br /> � � CALL 259-8810 FOH R[INSPECTION — 24 hour notice required <br /> A CERTIFICATE- OF OCCUPANCY SHALL BE ISSUED AND PO5 t� U �ul <br /> THE PREMISES LPR�I�OR TO OCCUPANCY. <br /> -�kti�-T/��"o-�L�rY.c�_�� i�n/ �.�_� <br /> .�L/_�Tt` i v � .7t � ��) <br /> � � <br /> � <br /> - -��—•/�,.��__ �- � / � k..., -r�� � / Ss. <br /> --���,L---�"'��-''� ' _ <br /> � - <br /> _ - <br /> ---- a . <br /> . /"-' <br /> �ns�,o� i�,� '� � ',/ /// r� <br /> . _ --�� - - �..�---._—_._.Dat� �/ ^f�/ <br /> T <br />