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Pus�ic woRKs <br /> INSPECTION REQUEST <br /> Address ��� � T � �d S �+. v�� <br /> Contractor /� �Sf /��� <br /> Owner � ���^ <br /> Date�___�.�_L— Time _ <br /> TYPE OF INSPECTION R�p UESTED <br /> � SIDESEWEH ����i �4o- Y7, Qp <br /> l CURB/GUTTER/SIDEWALK <br /> ; ; STREET / ' <br /> �� /�) ri / f �iw-� �e c�f . <br /> INSPECTION REOUESTED ON c „M� <br /> ',4� APPROVAL ❑ PARTIAL APPROVAL <br /> � VIOLATION ❑ CORRECTION REQUIRED <br /> ;7 Correcfions listed below MUST BE MADE before work cen be approved. <br /> i 1 Please contact inspector and errange for appoiniment. <br /> !l Was not eble tu peAorm inspectlon. <br /> ❑ CALL 259•BB10 FOF REINSPECTION — 24 hour noUce requlred. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> TH[ PREMISES PRIOR TO OCCUPANCY. <br /> /) K_�-7) Y7�_r.y_�?/8cF< � <br /> ft-� ��-- <br /> �� P <br /> , c� <br /> . <br /> i <br /> Inspecl r _�� - Uate//�lyL'lL.�- <br />