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PUBLIC WORK� <br />INSPECTIOlV REQUEST <br />Address _ Z�� ,�ln �JQ <br />Contractor <br />O�vn/e�r � a � <br />�� � y <br />Date Time <br />TYPE OF INSPECTION REQUESTED �t z <br />7 SIDE SEWER <br />� CURB/GUTTER/SIDEWALK <br />❑ STREET <br />f �l /�r. � 56�2�' <br />REQUESTED ON @ <br />nnie tnaE <br />�PPRUVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />C Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspection. <br />❑ CALL 259•8810 FOR REIMSPECTION — 24 hour notice requiied. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR SO OCCUPANCY. <br />