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�u���c vu���cs <br /> ����ett INSP�CTION REQUE�i' <br /> � Address � I��n > �) y��1 ( jlf`'��' <br /> 6 y���__, <br /> Contractor � � Q�� ! I <br /> Owner ( ' ��� � ���/ <br /> Date l —t �'t �-n� Time _ <br /> TYPE OF INSPECTIQN RCQU�STED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER,%SIDEWALK <br /> ❑ STREET - <br /> �i ' <br /> fr_ �i�l' / <br /> iNSPECTION REQUESTED ON _@_ <br /> OATC iIME <br /> ❑ APPROVAL ❑ AP,TIAL APPROVAL <br /> ❑ VIOLATION �CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange tor appointment. <br /> ❑Was not able to peiform inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION—24 hour notice required. <br /> A CFRTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> ' a 57`- � (-� o� ( r,J J� : �.. .� <br /> ��-� �� � ,,� ., ; �,.. � <br /> -/>� ,���� � - - <br /> , <br /> , � - <br /> lnsPector / s-�' �/� Date ;i.=�;i�l% <br />