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PUB�ic �voRKs <br /> �NSPE�TION REQUEST <br /> Addrese �(� (��( '� �� /� __ <br /> Contractor _ /;o Sl � ,S�_ , <br /> Owner !� D� i .... � � <br /> � I � <br /> Date T�me _fI_�D d <br /> TYPE OF INSPEC/T�ION REUUESTED <br /> SIDE SEWER ��XA. s�v— g�, Q8 <br /> a <br /> CUFB/GUTTER/SIDEWALK <br /> . STREET ./ �� � <br /> _�v.t7-���—L _ <br /> INSPECTION REQUESTED O .� s- C� .�1/ �e <br /> 1�IF 1iMt � I <br /> f � APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ IOLATION ❑ C�RRECTION REQUIRED <br /> l Corrections listed below MUST BE MADE before work can be app�oved. <br /> f ' Please contact insper.tor and arrange lor eppointmenL . <br /> ❑ Was not eole to perform Inspection. <br /> ❑CALL 259-BB10 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHAIL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> , . �/e �r <br /> : . � <br /> � � <br /> I <br /> Insper.tor � __Dat� 1��1 <br />