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� <br />� <br />PU�LIC WORKS <br />INSPECTION REQUESi <br />Address � /]�jQ�/�K�/�j� <br />Contractor <br />Owner ��_e`� , n k <br />Date_/_I — � ! — % Time <br />TYPE OF INSPECTION REQUESTED �U�/ � <br />❑ SIDE SEWER > <br />❑ CURB/GUTTER/SIDEWALK ���" M� 4�/D� <br />❑ STREET <br />INSPECTION REQUESTED ON @ <br />pPiC iI61C <br />Q'APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE belore work can be approved. <br />❑ Please contact inspedor and arrange for appointment. <br />❑ Was not able to perform inspection. <br />u CALL 259-8810 FOR REINSPECT!ON — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />Inspector ���KP�i�c � D;3ic �f-�'--%� <br />