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PUB�i� WORKS <br /> INSPECTION REQl,1EST <br /> Address � 7/z_�/� s,,�� �__ <br /> C �������K <br /> ) <br /> c>..� <br /> Date S <br /> — Time <br /> TYPE OF INSPECTION REQUESTED <br /> (�SIDE SEWER <br /> ^ CURB/GUTTERiSIDEWALK <br /> G STREET <br /> ❑ <br /> INSPECI'ION REQUESTED ON ' �� j:3� <br /> :,� ���.��_ <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE be�ore work can be apnroved. <br /> O Please contact inspector and arrange for appointmenl. <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 /> ` � ( ' 7� <br /> � <br /> Inspector � � <br /> Date� �S S— <br />