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PUBLIC WORKS <br />. INSPECTIAN REQUEST <br />Address �Z�/��••.-�--� <br />Contractor �ti�_�; J"-,� �' — <br />Owner ��,� r a `� <br />Uate � �7 Time <br />TYPE OF INSPECTION REQUESTED <br />i SIDE SEWER <br />C CURB/GUTTER/SIDEWALK <br />� STREET <br />n -- <br />INSPECTION REQUESTED O 4r � <br />DF L 111dC <br />PPROVAL ❑ PARTIAL APPPOVAL <br />❑ VIOLATION G CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arranc�e (or appointment. <br />C Was not able to perform inspection. <br />❑ CALL 259-8810 FOR REiNSPECTIGN — 2d hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />Inspeclor <br />�� <br />