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'__' <br /> PUBLIC 1NORKS <br /> INSPECTION REQU�S'� <br /> nd���55 ��'��v�--��v s_`�/l�c� . <br /> Contractor _�_p�_�_�� r 5 ____ <br /> Owner � �� <br /> Date� 7L Time _ _ . <br /> TYPE OF INSPECTION REOUESTED <br /> SIDE SEWER � U _ d l <br /> _ �, <br /> �. . CURB/GUTTEF/SIDEWALK <br /> STREET/� <br /> , —l� .�'�i�..S 4�Q�td:�'�.. . <br /> � , <br /> ' INSPECTION REOUESTED ON__. _ <br />�' - <br /> I APPROVAL C] PARTIAL APPROVAL <br /> f:] IOLATION �] CORRECTION REQUIRED <br /> ' : Corrections Ilsted below MUST BE MADE beloie work can bo appio�..��! <br />( � ��. Please contact inspector and arranye for appoiniment. <br /> I�i Was not able to perform inspection. <br /> [i CALL 259•8810 FOR REINSPECTION --- ?: I�uin notic�.; requnr,d <br />� A CERTIFICATE OF OCCUPANCY SHALL C�C IS`;U[ [? �',f�l!i I �U;1I�f� ON <br /> THE PREMISES PRIOR TO OCCUPANCY <br />' --.�f�- �jQl'v4,�r�__�.� f'� c . �- <br /> � _� [�._�S_�—L�_�-.-/�Jh�fµ�—S d'-. n cv�_�__. <br /> --b-_''ds��_4Ltttl'_�i � �-1lcs���� <br /> �__ . ,y� <br /> �2'-U•C.--D-f---Jy—.1�—/2�_�/_Q_-1Jn�.� <br /> -%s---�--t�4>s;�T--��-.>��,�4f..._ _ <br /> �� -s�� l/�-�--�-��-- r �_1 <br /> , , � �- �-- <br /> ��._p�_ �� --��5— , � .. � <br /> ���a�--n-Q-`�-.-- � <br /> ------ — -- � ---- <br /> ��J _ --- <br /> � �� �/ , <br /> InsPector --C!%faeib , — /� `- . U,�t�� �/��-r�Z <br />