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PUBLIC WOR�C� <br />INS��C'TIUI�I REQ'1JEST <br />Address � g2� Lti/ ��/�� <br />Contractor � � � _ <br />Owner �� / •� ��.�� <br />Date � � 3 � Time <br />�� <br />TYPE OF INSPECTION REQUESTED <br />�1DE SEWER <br />❑ CURB/GUT�ERi SIDGV✓ALI< <br />❑ STREET <br />'� -- <br />INSPECTION REQUESTED ON � _/�^� 7' ��L����',i�� _ <br />�APPROVAL ❑ PARTIAL APPROVAL <br />❑ ViOLATION ❑ CORRECTION REQU!RED <br />.r..�. <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspection. <br />❑ CALL 259-6810 FOR REINSPECT�ON — 24 hour notice requ�red. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED HND POSTED ON <br />THE PREMISES PRIOR TO OCCUPA.NCY. <br />Date� �/�f <br />