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PUBLIC W�)RKS <br /> INSPEC'1'IC►N REQUEST <br /> Address _f_��..� _ I, <br /> Contractor <br /> Owner � -- I <br /> Date���� Time __ <br /> TYPE OF I�SPECTION REQUESTED <br /> � SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> u STREET <br /> � -- <br /> INSPECTION REQUESTED ON c�i��}f.��_ <br /> �,;. � r� �� <br /> PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ 'JIOLATION ❑ CORRECTION REQUIRED <br /> �� <br /> ❑ Corrections listed below MUST BE MADE befare work can be apProved. <br /> ❑ Please contact inspector and r.rrange tor 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 ANU POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> � �'�.y. <br /> � Inspector - Date Z <br />