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pU�LIC iNOFiKS <br />INSP�C't10N RE(�IJ�S'T <br />Address a � ��h <br />Contractor � � � <br />Owner �s �`� <br />Date� — Q � Time <br />TYPE OF iNSPECTION REQUESTED <br />)CSIDE SEWE� <br />G CURB/GUTTER/SIDEWALK <br />❑ STRE[T <br />❑ <br />�— S � p: D <br />INSPECTION REQUESTED O 7 �prE r;,,E <br />APPROVAL ❑ PARTIA� Hrr�svvr,� <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Correclions listed belovr MUST BE MAGE be(ore work can be approved. <br />❑ Please contacl inspector and arrange for appointment. <br />❑ N!as not able to perlonn inspection. <br />❑ CALL 259•8810 FOFi REINSPE�TION — 24 hour nolice required. <br />A CEPRIEMISES PRI�OR TO OJCCUPANCYE ISSUED AND POSTED ON <br />