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PugL�C WORKS <br /> 1N5PECT10N REQUEST <br /> Address �v�— <br /> Contractor <br /> pwner <br /> y �S_QG__ Time <br /> Date�----r <br /> TYPE OF INSPECTIGN REC.IU[STED (yt j <br /> ❑ SIDE SEWER PC��Yt' i' 96/QQg <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> ❑ <br /> INSPECTION REQUESTED ON_ p;,�-- — <br /> rin+e <br /> PROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST 8E MADE before work can be approved. <br /> ❑ Please contact inspector and arrange tor appointment. <br /> ❑Was not able to perform inspection. <br /> ❑ CALL 259-881� FOR REINSPECTION —24 hour notice require . <br /> THE PRIEMISES PRIOR TO OCCUPANCYE ISSUED AND POSTED ON <br /> Date 5 1 p' <br /> Inspecto <br />