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Pus�ic woRKs <br /> INSPECTION REQUEST <br /> Address Da� kJ�J �„� �D <br /> Contractor �[J p S f /�j�s� <br /> Owner _ / o ;�� <br /> Uate_.� %2 Time <br /> Tl'PE OF INSPECTION HE4UESTED <br /> f 1 SIDE SEWER � �_ � � <br /> � ICURB/GUTTER/SIDEWALK <br /> ' SiHEET <br /> � --��-�-_f� c r., . _ <br /> INSPECTION REQUESTED O I �h )�9,L �� �� <br /> o•�� nn�e <br /> i'ROVAL ❑ PARTIAL APPROVAL <br /> I ] VIOLATION ❑ CORRECTION REQUIRED <br /> i Corrections listed below MUST BE P4ADE 6elore work can be approved. <br /> f 1 Please contact inspector end arrange for appointment. <br /> [] Was not eble to perform inspeclion. <br /> [ 1 CALL 259-8810 FOR REINSPECTION - 2q hour natice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> �r7 ..,� /�,.� ,. �_ ' <br /> - /„�. . �,� � J N� s - i <br /> `� ,�L�_ <br /> I• -2 7�L�,� }ti /`9f� n..� <br /> c�ru �s <br /> ���—L Ri �� „�„�y_� �- <br /> 3�� � � r,.. �. // <br /> ---� 'L �rr � � .. <br /> f �� S�� ,� �� �s—�n� �- �'� <br /> ' �-�-`o�_T �1 - t� � c e�.. <br /> �� ''�' ' tT.._�_.���� <br /> ,. <br /> Inspect A <br /> -Zg+ D�te 7 1 y <br /> I <br />