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PIJBLIC WORKS <br /> ��e�ect INSPECTION REQUEST <br /> � Address ���- l7 � /� l.� �: ��, U�- <br /> Contractor <br /> Owner <br /> Date��/ Time �� s cJ <br /> � <br /> TYPE OF INSPECTION REQUES?ED <br /> 7 SIDE SEWER <br /> fJ CURB/GUTTER/SIDEWALK <br /> ❑ STREET .,,.[ <br /> C � ` /,(� �� �J n ( `hs,�- <br /> � '` � / - <br /> INSPECTION REQUESTED O S �- c '�, <br /> p41L 11Nf <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections lisled below MUST BE MADE before work can be approved. <br /> �i Please contact inspector and arrange for appointment. <br /> G Was not able to pertorm inspection. <br /> ❑ C:+LL 259•8810 FOR REINSPECTION — 24 haur iiotice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> � ,� /��l/.� i/�ii.�C�� �CW� <br /> o �/ �, S,�e-e� /-.1o21Z ,. L <br /> � <br /> Inspector �� �- Date �� <br />