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PUBLIC WQRKS <br />INISPECTIOIV REQ�ES'T <br />n , �Address 9Xy_. �� 5 �—�L, "' G _ <br />Contractor <br />--y <br />Owner �^" �'— <br />Date � '1— Time <br />�� - <br />TYPE OF INSPECTION REQUESTEG <br />�$IDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />�� <br />INSPECTION REQUESTED <br />� p <br />— @ <br />.�., <br />�PPROVAL ❑ PARTIAL AFPROVAL <br />❑ VIOLATION ❑ CGRRECTION REQUIRED <br />❑ Corrections lisied below MUST BE MAD= be;ore work can be approved. <br />❑ Please contacl inspector and arranee foi appointment. <br />❑'Nas not able to perform inspection. <br />❑ CALL 259-8810 FOR REINSPECTION — 2s hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPAWCY. <br />