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�u��.ic in/Qi��c� <br />��as��=c��o� t���u��� <br />Address �O� ��r — <br />Contractor <br />Owner __����'_Y�'1-P� -- <br />Date_�/=-�-7 �° Time <br />TYPE OF INSPECTION REQUESTED L��? <br />❑ SIDE SEWER PW l�M� N%3� <br />❑ CURB/GUTTER/SIDEWALI< <br />❑ STREET <br />i?�SPECTION � EQUESTED ON �� — <br />o;.iE n:.ie <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MAD[ before work can be anPi�:��i- <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspection. <br />❑ CALL 259-8810 FOR REI(:SPECTION — 24 how notice requiied. <br />A CERTIFICATE OF OCCUPAIJCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TU OCCUPANCY. <br />Inspector----�/�F��" ���—� Date —0'�� <br />