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041PUBLIC WORKS <br />77- INSPECTION REQUEST <br />AddressZQ---- <br />Contractor <br />Owner �l� rrp In. <br />Date_¢—/— y�, Time <br />TYPE OF INSPECTION REQUESTED Lrt7 <br />❑ SIDE SEWER ,ll p 11 p <br />❑ CURB/GUTTER/SIDEWALK rev/ d T i5�5�4S <br />n STREET <br />°C—k, • if I <br />INSPECTION REQUESTED OR CW <br />DAr[ rarer <br />47PROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />C Please contact inspector and arrange for appointment. <br />❑ 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 />THE PREMISES PRIOR TO OCCUPANCY. <br />Inspector Date <br />