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PUBLIC WORKS <br /> �','«e" INSPECTION REQUE�T <br /> � <br /> , <br /> .� 1 <br /> Address ' I,� � - l ��ut' l'�'�l� <br /> Contractor _ <br /> Ow�er �� )1,i, n,���.n � <br /> Date �- �� ( '�_ Tima f�(•��-``��' C%�� <br /> TYPE OF INSPECTION REQUESTED <br /> i ; SIDE SEWER � ��1, /C�-�-'! � <br /> i 1 CURB/GUTTER/SIDEWALK <br /> STREET � <br /> iI -��I �I �I ��IC�,,s . <br /> INSPECTION REQUESTED ON cil <br /> wrE ui¢ <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ] Corrections listed below MUST 6E MADE betore worV�can be approved. <br /> i-1 Please contacl inspector and arrange lor appointmant. <br /> ❑ Was not abie to perform inspection. <br /> ❑ CALL 259•8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> Inspector Date <br />