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PUBLIC WORKS <br /> INSPECTION REQUEST <br /> /J� � <br /> Address �_� n 'r —� ` <br /> Contractor <br /> Owner ��'J-a�7 �o� � <br /> DateT( ���_ Time <br /> « ' <br /> TYPE OF INSPECTION REQUrSTED <br /> �SIDESEWER <br /> � CURB/GUTTER/SIDEYJl,LK <br /> STREET <br /> INSPECTION REQUESTED ON / �7�� (�-Z 3� <br /> � � .�— �..,-- <br /> � APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> `.: Corrections li;ted below MUST BE MADE betore work can be approved. <br /> : ] Please:oniad inspeGor and arrange for appcintment. <br /> ':� Was not able to periorm inepection. <br /> :7 CALL 259•8810 FOR REINSPECTION — 24 hour notice:equired. <br /> A CERTIFICATE�F OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> C"C7),.-a..-.� <br /> I��spector . __ , Date��'� <br /> �- <br />