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PUB�ic woRKs <br /> INSPECTION REQUEST <br /> Address � � J � � �e � � <br /> Contractor �" `S �t�' — � <br /> i <br /> i <br /> Owner � � i� <br /> ii <br /> Date � 3 ¢2 Time � <br /> TYPE OF INSPECTIUN REQUESTED <br /> �. 1 SIDE aEWER /'���Q � � ��� <br /> i I CURB/GUTTER/SIDEWALK i <br /> 1 STREE�� <br /> O --'�� <br /> I ! � 7 � <br /> INSPECTION REOUESTED O � �`�L--fi <br /> � IMk <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> C7 VIOLATION ❑ CORRECTION REQUIRED � <br /> [7 P erase�contacte spector and arBangeAOEeppointme tcan be epproved. <br /> ❑Was not eble lo perform Inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br /> THE PREMISES PRIOOR TO OCCUPANCYE ISSUED AND POSTED ON <br /> O ��— <br /> — e J ` " <br /> I <br /> � <br /> 1 <br /> L / � Dale� � <br /> Inspeclor <br />