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PUBLIC WORKS <br /> INSPEGTION RE�lUEST I <br /> Address � a t� 7 �L) �s t r� � � - I <br /> Contrector � 'S �uJ- <br /> Owner � v � �w y <br /> . <br /> Date � .L _ 7ime <br /> TYPE OF INSPECTION REQUESTED <br /> SIDE SEWER <br /> �CURB/GUTT[R/SIDEWALK <br /> 157REET <br /> INSPECTION REQUESTED O �� @� <br /> Il �l 11ME <br /> [ .L,f'F'ROVAL ❑ PARTIAL APPROVAL <br /> [� VIOLA;I�JN ❑ CORRECTION REQUIRED <br /> I i Correctfons li,ted below MUST BE MADE before work can be upp�oved, <br /> I1 Please contact inspector and auenge lor appointment. <br /> ❑ Was not able to perlorm inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION— 24 hour notice roqulred. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> � �,.� C',t !� Q r' •7�.r <br /> a-�� 11 � � t D - <br /> SP� � . � r �,N1�.�Zd O <br /> Inspector Datar <br />