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RU�LIC WOI�KS <br />INSPECTION REQUES'�' <br />Address clDIG Lt)�g///�.• <br />Contractor <br />Owner <br />Date % � ��6 _ Time <br />TYPE OF INSPF.CTION REQUESTED L�y I`-Zg- <br />❑ SIDE SEWER �(,�J (�ry�f �J5/,3� � <br />� CURB/GUTTER/SIDEWALI( <br />❑ STREET� <br />�. `� L G I <br />INSPECTION REQUESTED ON � <br />on�e � n• , -- <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ \�IOLATION ❑ CORRECTION REQUIRED <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 259-8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMiSES PRlOR TO OCCUPANCY. <br />Inspector �� Date �— / '–�S� <br />--�— <br />