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PU�LIC WORKS <br /> INSPECTION REQUEST <br /> Address �� 3 �+� �s s� � ��� <br /> Contractor �DSL �-"- <br /> � <br /> Owner ^ <br /> Date}�_���-- Time <br /> TYPE OF NSPECT'ON REOUESTED � <br /> C7SIDFSEWER �v'B7i + g� � <br /> ! i CURBlGUTTER/SIDEWALK <br /> i ! STREET <br /> I 1 _�U •,,, � e .`'> . <br /> INSPECTION REQUESTED O �' � 2 @��� <br /> ���� IIME <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> f l Correctlons listed below MUST BE MADE before work can be approved. <br /> ' :�1 Please contact inspeclor and arrange lor appointment. ' <br /> ❑Wes not eble to perlorm inspection. , <br /> ❑ CALL 259•9810 FOR R[INSPECTION —7.4 hour notice required. <br /> A CERTIFICATE OF UCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> —�— o,� in �� c cJ. h/ k c.� <br /> ,q...y _����.,. �� *-- ; <br /> ---• � /p <br /> _� -k A_.�v� i <br /> Inspecto� / Dat �L� <br />