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PUBLIC WORKS <br /> INSPECTION REQUEST <br /> Address � �a 3 L - -��- �7'�� � <br /> Contractor <br /> Owner ��T 4- �<— - <br /> Date� 3- 3 _ Time <br /> TYPE OF INSPECTION REQUESTED <br /> �ESEWER <br /> ❑ CURB/GUTTER/SIDENJALI< <br /> ❑ STREET <br /> ❑ <br /> INSPECTION REQUESTED O �! Frt @ f'Z" i!�5 <br /> PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arranc7e for appointment. <br /> ❑ Was not able lo perlorm inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SFIALL BE ISSU�D AMD POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> —P� � <br /> �� <br /> P K � �` <br /> `� <br /> Inspector Dat�� p� <br />