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PUBLIC WORKS <br /> IH�PECTION REQUEST <br /> Addresa �7l p11 3 GcJ ( "o�� <br /> Contrector ��� <br /> O ner 1� a P ��- T <br /> Date _ Tfine <br /> TYPC OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑CURB/GUTTER/SIDEWALK <br /> ❑ STREET � <br /> ❑ � ,C <br /> INSPECTIONREOUESTEDO i ta!�-��o <br /> D�' IiME <br /> APPROVAL O ?ARTIAL APPROVAL <br /> I ' '✓IOLATION ❑ CORRECTION REQUIRED <br /> ' Corrections lisled below MUST BE MADE belo�e work can be app�oved. <br /> Please contacl insprctor and arrange lor appointment. <br /> I i Was not able to perlorm inspection. <br /> ! CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br /> n CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> 11iF PREMISES PRIOR TOOCCUPANCV. <br /> — � 1 � <br /> u > .� d —X <br /> _ <br /> � .t fr � r9 <br /> --�-- <br /> Inspecl � Ueta�;� }� � <br />