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i <br /> PUBLIC WORKS <br /> INSPECTION REQUEST <br /> nddress �3�n'3 u/ �•s�. � l��_ <br /> Contractor ��/o[��rf <br /> Owner �� � � k� <br /> Date—� 91 Time <br /> TYPE OF INSPECTION REQUESTED � <br /> I SIDE SEWER <br /> � '. CURB/GUTTER/SIDEWALK � <br /> ��. . STRF.ET '� <br /> � �: w a��,. Ir...._ L l.�k �.. � <br /> INSPECTION REOUESTED O � � @ p�� <br /> U�1L 11M[ <br /> �APf'ROVAL ❑ PARTIAL APPROVAL � <br /> ❑ VIOLATICN ❑ CORRECTION REQUIRED <br /> i ! Corrections listed below MUST BE MADE before work can be approved. <br /> i I Please contact inspector and arrange lor appointment. <br /> ❑ Was not able to perlorm inspection. . <br /> ❑ CALL 259•8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PHEMISES PRIOR TO OCCUPANCY. <br /> ., r ..� <br /> O C � � �� ��MIC <br /> n 1� Se tC ��i x� �a �''��� �e�� � <br /> Inspecbr � Date���i= 'I <br />