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Date <br />PUB�ic woRKs <br />INSPECTION REQUEST <br />Address � � '� � � <br />Contractor - <br />Qwner. �a / /� <br />Time <br />TYPE OF INSPECTION REQU[STED <br />7�SIDE SEWER <br />/ � <br />�i CURB/GUTTFR/SIDEWALK <br />iSTREET <br />� ���� <br />IN&PECTION REQUESTED O� <br />@ 3� �� <br />S—' nn�e <br />APPF,OVAL '_7 PARTIAL APF'HVVH� <br />❑ VIOLA7IUN ❑ CORRECTION REG�UI'� <br />❑ Corrections lisled below MUST BE MADE before work can be apt-�ved. <br />❑ Please contact inspector and arranye lor apuointment. <br />❑ Was not able to pertorm inspection. <br />O CALL 259•8810 FOR REINSPECTION — 24 hour notice req�ired. <br />A CERTIFICATE OF OCCUPANCY SHAL� BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO O�:CUPANCY. <br />