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PUB��C WORKS <br /> INSP�CTION REQUE�T <br /> .1ddres, �� G� (,v ^� <br /> - -- -�__ _ �sh_ l <br /> _ — _ �_1 � <br /> _ <br /> Contractur __.__��Ss..���3� <br /> wner --//--V �.ti., q ` ... <br /> � f <br /> Date�� .�-3/S-.�_— rime -- <br /> TYPC OF INSPECTION REOUESTED + <br /> SiDE SEWER �D <br /> CURB/GUTTFR/SIDFWA�_K — � / � � <br /> SiR[E7 <br /> -�'`-� -�� �-��-�r`v.. __ <br /> INSPECTION REQUESTED ON1[�� 3 91 , � ; ?Q <br /> �,:.,--- - — <br /> APPROVAL �"�� <br /> i=1 VIOLATION r� PARTIAL APPROVAL <br /> ❑ C013RECTION REQUIRED <br /> ' ' Corrections lisfed below MUST BE MADc' before work can be,�pproved. <br /> ;.. Please contact inspector and arranye lor appoinimenL <br /> ❑ Was not able to peAorm inspection. <br /> � ❑CALL 259-8810 FOR REINSPECTION — 24 hour nolice reyu�red. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED ANf) f'Ot;�[ D ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> �7 —�--- <br /> __,L,_Y' j' K �` � ,,., ` � I <br /> �� / <br /> ---__---_ <br /> i <br /> i Inspect _ _ _� � � � j .. <br />� nrd„ � �)� <br /> �� <br />