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4 PUBLIC WORKS <br />:77- INSPECTION REQUEST <br />Address Address — V — <br />Contractor <br />Ownei A/ LA/ !s <br />ppp/1rrELl' <br />Date D 'ZZ-off Time <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />O STREET <br />❑_ <br />INSPECTION REQUESTED ON <br />WE TIME <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspect(,: and arrange for appointment. <br />❑ Was not able to perft rm inspection. <br />O 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 />G/.3`ar=2✓�D ;�%�XJ Gr/ y�E w�-7Zr�2 <br />