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�u��ic w��K� I <br /> INSPECTION REQUEST � <br /> Address � `f E- �ti 1w �/'� <br /> Contracior <br /> Owner ��rx� <br /> Date I I - �-�/�i Time <br /> TYPE OF INSPECTION REQUEST[D pc <br /> ii S!DE SEWER 7w�`��� � 7 /�p o <br /> d <br /> . CUH6/GUTTER/SIDEI',:4L1< <br /> STREE <br /> ry- , a I — <br /> INSPECTION REQUEST�D O�J <br /> - uni� ,��•.i: <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections lisled below MUST BE MADE before work can be approved. <br /> L Please contact inspector and arrange for appcintment. <br /> ❑ Nlas not able to perform inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. . <br /> A CFRTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE FREMISES PRIOR TO OCCUPANCY. <br /> c <br /> Inspector �v•�� �`�� Date 1�'z—</ <br />