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PUBLIC WORKS <br /> ��E«'« INSPECTII�N REQUEST <br /> � Address /S�� C.�� <br /> Coniractor <br /> Owner �Q�tJlX/ P�UDE� 25��31�Z <br /> oate �/— �'S� JU rime <br /> TYPE OF INSPECTION REOUESTED <br /> �,v�IDE SEWER <br /> / <br /> f 1 CURB/GUTTER/SIDEWALK <br /> f7 STREET <br /> ❑ _ <br /> INSPECTION REQUESTED ON //— /�i�- �f[J (� 9%U��� <br /> ;IP�f 11M1 <br /> PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION PEQUIRED <br /> ❑Correctio�s listed below MUST BE MApE belore work can be approved <br /> :1 Please contac� inspector and arrange Icr appointment. <br /> �7 Was not able to peAorm inspection. <br /> ❑ CALL 259•8810 FOR REINSPECTION— 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> �urr,�2E /./� ✓ L�� �i�, �k ,vit�. <br /> (;�`�Icd�� �9--ti!v c�,�D ,���o <br /> �%��, <br /> Inspector _ � �' � � D2te �� �� JC� <br />