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i <br /> 1 <br /> Pus�ic woRKs <br /> • everetc �NSPECTION REQUE�T <br /> � Address ��J J �`I�� � <br /> Con;ractor ��L1( �,���3� � <br /> Owner � ��� <br /> Date r�'I—'X� Time �{s� <br /> ��� <br /> TYPE OF INSPECTION REQUESTED <br /> �SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> NSPECTION REQUESTED ON ���"O/, �a o O <br /> DAiE 11M[ <br /> t <br /> ❑ APPROVAL J,�i PARTIAL APPROVAL <br /> ' �� � ❑ VIOLATION �,ss�l��.�� c�CORRECTION REQUIRED <br /> � � ❑ Corrections listed below MUST BE MADE be(ore work can be approved. <br /> + ?� �1 . ❑ Please contact inspector and arrange tor appoiniment. <br /> ❑ Was not able to perform inspection. <br /> � ' ��'�� �'`'� ❑ CALL 259•8811 FOR REINSPECTION— 24 hour nolice required. <br /> � � ��° � A CERTIFICATE QF OCCUPANCY SHALL SE ISSUED AND POSTED ON <br /> THE PREMISES PRIOnR� TO OCC�UPAN Y. <br /> � I ','��� CXRLO/�6V�4'� � 3 �'2 <br /> hQ.Q '� <br /> a� ce� � a-�`— <br /> �� � <br /> 1�'' �,e�,� <br /> � � n�.0 s � <br /> i v <br /> � � � �� , <br /> Inspector — _Dale Z �'� _ <br /> i <br /> � : <br /> �: <br />. � <br />