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PUBLIC VUORKS <br /> INSPECTION REQUEST <br /> Address �h0 � ��� h: �� u ��✓_ <br /> Contractor ������, /�� S _ s <br /> Owner � .. _? � s"�'.. ._d� <br /> Date���L Time <br /> TYPE OF INSPECTION REQUESTED <br /> �CSIDE SEWER <br /> ❑ CURB/GUTTER/SIUEWALK � <br /> ❑ STREET <br /> G <br /> INSPECTION REC,�UESTCD ON �6 @ � � �� <br /> oare r�n�e <br /> ,�APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed belew MUST BE MADE b�fore work can be approved. <br /> ❑ Please contacl inspector and arrange for appoinimeni. <br /> ❑ Was not able to perform inspeclion. <br /> ❑ CALL 259•8810 FOR REINSP[CTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES Pf110R TO OCCUPANCY. <br /> �`) �� v �.� <br /> -�----i <br /> i <br /> Inspector Date � J- � <br /> ` <br />