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i <br /> PUB�ic woRKs ' <br /> INSPECTION REQUEST <br /> Address ?n l 3 ! ) �'s s� e ���-- <br /> 1� I '7 �W � -- <br /> Contractor <br /> Owner � �" <br /> Date� <br /> � Time <br /> TYPE OF INSPE�O��E�E�� �� � <br /> �SIDE SEWEF � <br /> ; '�. GURB/GUTTER/SIDEWALK <br /> STREET <br /> �, 3�Cil i-- <br /> INSPECTION REQUESTED O „� ��M� <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ IOLATION ❑ CORRECTION REQUIRED <br /> ; I Corrections listed 6elow MUST BE MADE before work can be approved. <br /> ' 1 Please conlacl inspector and arrange for apPoinlment. <br /> f] Was not able to Pertorm inspeclion. . <br /> ❑ CALL 259•BB10 FOR REINSPECTION — 24 hour nafice required. <br /> THE PREMISES PR OR TO OCCUPANCYE ISSUED AND POSTED ON <br /> I <br /> � � .� t�. i <br /> �— <br /> - / - oa�� "�'' <br /> Inspecto I <br />