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�� PUB��c woRKs <br /> i <br /> INSPECTION REQUEST <br /> 3pv3 l� �6 � Y a )�� , <br /> Address '> , <br /> Contractor �._!—�5 ��� Cv•p•L"`'"� <br /> OW 2f /J !] i r �f .��- �� � <br /> Date_��� �" Time _------ <br /> TYPE OF INSPECTION REOU[STED <br /> [1 SIDE SEWER <br /> ! i CURB/GUTTER/SIDEWALK <br /> STRE T � / <br /> �. '; ']�. c� / t s�1�s . <br /> INSPECTION REQUESTED O"!�—� ,�M��� <br /> C� APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> i'.Corrections listed below MUST BE MADE before work can be approved. <br /> i7 Please contacl inspector and arrange for appointmenl. <br /> ❑Was nol able to pertorm inspection. • <br /> ❑ CALL 259•BB10 FOF REINSPECTION— 24 hour notice requlred. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PRE S RIOR TO OCCUPA CY. <br />, ,- : D� �,w . <br /> � I� <br /> ']� e— � r^�— � <br /> ��' ' <br /> L �� � I <br /> ` _'D .� / <br /> �� <br /> Da�e � � <br /> Inspecto <br />