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4 PUBLIC WORKS <br />myr INSPECTION REQUEST <br />Address 1?-as A(`� Q f' <br />Contractor <br />Owner )aI < <br />Date & - I Y—W Time <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />C <br />PA) P)r►f M/M5 <br />INSPECTION REQUESTED ON DATE TIME <br />nMe <br />PPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />Corrections listed below MUST BE MADE before work can be approved. <br />❑ 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 o�—v <br />