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i <br /> Pus�ic woR�s <br /> INSPECTION REQUEST <br /> ��I� w 9 / � i �S i11] �� . <br /> AddfeSS �"' ' "t <br /> Contractor � tJ �S (`� <br /> pwner <br /> Date� � Z Time <br /> TYPE OF INSPECTIO/NI RE�UESTED � � <br /> D($IDESEWER �3'r/ �� ` � <br /> ❑CURB/GUTTER/SIDEWALK <br /> i <br /> ❑ STREET <br /> fi <br /> � .2=0 A <br /> INSPECTION REOUESTED O �f,�— - nME <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ IOLATION ❑ COFiRECTION REQUIHED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. � <br /> [1 Please contect inspector and errange lor appointm�tN. , <br /> ❑ Wes not able to perform Inspection. <br /> O CALL 259•8810 FOR REINSPECTION—24 hour notice requlred. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> -- �a —g � <br /> _�y– f �e s S: o o. <br /> �� 6 '�(' s; � «.. '��s -- � <br /> n � s Es o� � � <br /> _Dat //QZ-- <br /> Insner.tor <br />