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PUB�ic woRKs � <br /> INSPECTION REQUEST <br /> Address 3a a� W �s � �J I�A� <br /> COn�raCtOr D SS ��r �„� � <br /> Owner � � � `1-a <br /> Dete.�L� Time _ <br /> TYPE OF INSPECTION REOUESTED <br /> CI SIDE SEWER � g ^ g ? <br /> I1 CURB/GUTTER/SIDEWALK <br /> ( 15TREET <br /> [l ���TT <br /> INSPECTION REQUESTED ON�L��@ /D• r7 J <br /> O�1 bMF <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> f7 Corrections listed below MUST BE MADE before work can be epproved. <br /> C7 Please contuct inspector and arrange for eppointment. <br /> ❑Was not able to pertorm inspection. <br /> ❑ CALL 259•8810 FOR REINSPECT!ON — 24 hour notice requlred. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> ii <br /> ��� c..`� Z <br /> ` - •` •.� ; a � � <br /> a v t <br /> � .. • , � , j,�y/,� �i ,. • c C 1�E� <br /> Inspectcr _ Date � <br />