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PUBLIC WORKS <br /> INSPECTION REQUEST <br /> Address 3D03 W �i s `„ �d� <br /> Coniractor ��ss /'� SW- <br /> Owner �D c `'" � — , <br /> i <br /> Date 9 2 T�me <br /> TYPE OF INSPECTION REQUESTED �yy <br /> i ] SIDE SEWER � � `" `! �� _d /J �y <br /> � ' CURB/GUTTER/SIDEWALK <br /> STREET � <br /> '. 1 �,LC-2l�--/�` <br /> INSPECTION REOUESTED O j � f � <br /> OA�E IIMF <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTiON REQUIRED <br /> L; Corrections listed below MUST BE MADE belore work can be approved. I <br /> �1 Please ccntact inspector and arrange for eppointment. <br /> ❑ Was not able to pertorm inspection. <br /> ❑ CALL 259•8810 FOR REINSPECTION — 24 hour notice required. . <br /> A CERTIfICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> TfiE PREMISES PRIOR TO OCCUPANCY. <br /> ���4t�� ��`��__y__�S�� II <br /> � /�� i rr d e I <br /> 1`� ` P s� � — I <br /> � ' �I <br /> insn«�rtor --E�, — - Date� 1- <br /> i <br />