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i <br /> PUBt;!C WORKS <br /> `'`'�'�''" INSPECTION REQUEST <br /> � � , <br /> Address .��c�� __ k�_�o 3 ;"� o �� -- <br /> Contractor �U �,1�'�n �re_ <br /> Owner _��C' :., � _ __ <br /> nn�e—P�13��_ Timc — — I <br /> TYPE OF INSPECTION REOUESTED <br /> SIDE SEWER � /),?�1 <br /> CURB/GU7T[R/SIDEWALK <br /> STREET ` / / <br /> -- �s?_�T�-_ 1��__r r� <br /> IN;PGCTIONREOUESTEDON� ._7�1`1_ .� 3 �' <br /> � <br /> APPROVAL [ ] PARTIAL APPROVAL <br /> VIOLATION ❑ COHRECTION REQUIRED <br /> Gonoct�o�s Ils�ed below MUST 8E MAD[ bofore• work can be npprovo�f <br /> Ple;u�� r.on�ac� inspector nnd arrange for appninhnen�. <br /> , Was not eble to perform inspection. <br /> �. . CALL 259-8810 FOR REWSPECiION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED (:��1 <br /> i 11L PREMI�FS PRIOR TOOCCUPANCY. <br /> rp� r� _ 'trs� D -L -� �. lJLT <br /> L2��1 r Jm�+ �. �Gs / _ <br /> ,,-F �� �_�1�1 L_ , / C��r <br /> ��, � 5 �, -,.. �..: ���_ <br /> �� � <br /> � -�=-�- --�--- <br /> , _, <br /> , <br /> , ;. <br /> InsPeUoi . _ �,4C �-��-C����l—�/, I�.�I�,:i .: � . � <br />