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pUe��,ic woR�cs <br /> INSPECTION REQUEST <br /> —� - - - - � � _ - � <br /> Address � <br /> � � �S.tJ <br /> Contractor d <br /> Owner ��� <br /> a. Time <br /> Date 3 l� — <br /> TYPE OF INSPECTION REOUESTED <br /> ,aCSIDE SEWER i <br /> I CUHB/GUTTER/SIDEWALK <br /> „ STREET �, <br /> I <br /> INSPECTION REQUESTED O = @ ' ,��� i <br /> �,.r� <br /> I�PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VI�LATION ❑ CORRECTION REQUIRED ' <br /> 1 Correction,listed belew MUST BE MADE belore work can be app�oved. <br /> ! I Please conlacl inspeclor enA arrange tor appointment. <br /> ❑Was not able to pertorm inspection. <br /> ❑ CALL 259•8810 FOR REINSPECTION —24 hour nolice required. <br /> THE PREMISES PRIOR TO OCCUPANCYE ISSUED ANU POSTED ON <br /> � <br /> � v� •�� <br /> . -� . "� <br /> �T...- ,., ,,.k y�, ���z., SY._ <br /> � � - <br /> �. <br /> ,�a�e 3 �i�yZ <br /> Inspector � <br />