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PUBLIC WORKS <br />INSPECTION REQUEST <br />Address re 9 <br />Contractor <br />Owner <br />Date_ � 7 � Time <br />TYPE OF INSPECTION REOUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />INSPECTION REQUESTED O , DATE TIME <br />❑ APPROVAL 3-PARTIAL APPROVAL <br />El VIOLATION ElCORRECTION REQUIRED <br />L7 Corrections listed be!ow MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />p Was not able to perform inspection. <br />❑ CALL 259.8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />T E PREMISES PRIOR TO OCCUPANCY. CDpgL=ET%�%� <br />.L 11 og4`7 //t% <br />5 /L% T6,0jcE sL�o�U AS s (LT �Jc c <br />Date / - -ft9 <br />Inspector <br />