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PUBLIC WORKS <br /> INSPECTION REQUEST <br /> Address ��0� � �� y.�� � <br /> Contractor �L,1 <br /> Owner �3 n � ;>,A I <br /> Date 2 �^ Time _ <br /> TYPE OF INSPEC710N rREQUESTED <br /> CI SIDE SEWER �o\rr '� �� � � � <br /> � 1 CURB/GUTTER/SIDEWALK ���—�—� <br /> [iSTREET � <br /> l <br /> i 1 _�/� � — <br /> INSPECTION RFOUES'fED O t (a f Q•OD <br /> PPROVAL RTIAL APPROVAL <br /> ❑ VIOLATInN ❑ CORRECTION REQUIRED <br /> !; Co�rectior.^ i�sted bel:w 'dilul BE MADE before work can br, approved. <br /> f 7 Please cunla�t �,nsN��ctrn and arrange lor eppointment. <br /> ❑Wes not nble to pe�iorm Ir�spection. , <br /> ❑ CALL 259�8810 FOR REINSPECTION — 24 hour notice requlred. <br /> A CERTI�ICATE OF C1CC:UPANCY SHALL BE ISSUED AND POSTED ON <br /> 1IiE PREMISES PRIOR TO OCCUPANCY. <br /> D� w ��� < l�y, •r' � J-...� <br /> � r <br /> � ♦ <br /> Inspector _ _Dal . _� <br /> I <br />