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PUBLIC WORKS <br /> `'"`'�`'" INSPECTION REQUEST <br /> � Address / � � � � � s ti. /�X — <br /> Contractor _ / J—. `��r7Y <br /> Owner �.� }, <br /> Da�e��L___ Timc <br /> 7YPE OF INSPECTION REOUESTED <br /> �:� : SIDE SEWER <br /> f ! CURB/GUTTER/SIDEWALf< <br /> STREET <br /> INSPEC710N REQUESTED ON� '�— �/ �,� .�j'p <br /> c�.<< .�„c <br /> APPROVAL �� PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> �: 'Corrections listed below MUST BE MADE before work can br, approved <br /> � : Please contact mspector and arrange lor appointment. <br /> ❑Was not able to perform inspection. <br /> ❑CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND FOSTED CN <br /> THE PREMISES PRIOp TO OCCUPANCY. <br /> / 7C� �4�-c � ---- <br /> ir 5 p c �C�L'—�� � <br /> �--�—CL'� � �_ �_ �_.��� S -- <br /> �— <br /> Inspec�o _ � �� �i //� <br /> ��' �" z�-��--� �y�. <br /> . c-�-�S�=------Datc�H--.�.L— <br />