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PUB�ic woRKs <br /> IN�PE�TION REQUEST <br /> Address _, 7 O ') Gc� rG � :. � �,� <br /> Contractor �� �f !�•SW� <br /> Owner �e r � <br /> Date��i�/�1 time __ <br /> TYPE OF INSPECTION REQUESTED <br /> I i SIDE SEWER ���y. �.Q � 87 <br /> i I CURB/GUTTER/SIOEWALK � <br /> ; ] STREET <br /> !l �—_�l <br /> INSPECTION REOUESTED ON� uA ��@ ,�� M�E b <br /> PPROVAL ❑ PARTIAL APPROVAL � <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> � <br /> t ]Corrections listed below MUST BE MAUE belore work can be approved. <br /> '�1 Please contacl inspector and arrange for eppointment. <br /> ❑Was not eble to pertorm inspection. <br /> ❑CALL 259•8810 FOR REINSPECTION —24 hour notice required. <br /> A CERTIFICATE OF OCCIiPANCY SHALL BE ISSUED AiJD POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> �� r w.�.�� /�.� L /e��-� <br /> < <br /> � <br /> � <br /> i <br /> Inspector _Dete7 � 2 I <br />