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� <br />Pus��c woRKs <br />INSPECTION REQUEST <br />Address �� C�c��j+., AJ� <br />Contractor <br />OW:1Ef /4t1Ia� �Ll�f.uC� <br />oate s— 10-�9 Time <br />TYPE OF INSPECTION REQUESTED �� � <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STR�ET <br />/'��'.� t 9�`/� <br />INSPECTION REQUESTED ON @ <br />OI.T[ LIME <br />APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections Iisted below MUST BE MADE before work can be approved. <br />C'� please contact inspedor and arrange for appointment. <br />❑ Was not able to perform inspection. <br />❑ CALL 259�8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCIiPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCV. <br />Inspector <br />Date s rr�� <br />