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PUBLIC WORKS <br />INSPECTION REQUEST <br />Address `v� ( �ch�^ -- <br />Contraclor <br />Ov✓ner ��� S�-�'�'`C.%Z -- <br />D3te ��T � / Time — <br />TYPE OF INSPECTION REQUESTED <br />� i SIDESEWER D� ��yn�'�9�/c�Us <br />I <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />X �` �' <br />n <br />INSPECTION REQUESTED ON �� <br />onn ,��•i <br />PPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />; 1 Correr,tions lis�ed below MUST BE MAD[ belore work can bo aPProved. <br />f� Plea;e contacl inspector and arrange tor appointment. <br />["] Was not able lo periorm inspection. <br />[] CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PRERIISES PRlOR TO OCCUPANCY. <br />InsP�c�tor <br />ate l0 `/S �- <br />