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qPH <br />�3 to <br />16-5 <br />PUBLIC WORKS <br />H <br />yI <br />INSPECTION REQUEST <br />4p <br />Address �(�� �i ) • I r tGIC t l�� I� <br />H0 <br />Contractor(O �>tCc�uo.V` ha <br />O <br />H ri <br />Owner <br />H <br />i <br />Date %—��C� —9sZ Time are O�V <br />y <br />8 CA <br />0 t❑7C5N <br />TYPE OF INSPECTION REQUESTED <br />h7 <br />%SIDE SEWER <br />H O Cy/J <br />❑ CURB/GUTTERISIDEWALK <br />❑ STREET <br />INSPECTION REQUESTED ON_� a co DO <br />T1,.1r <br />APPROVAL ❑ PARTIAL APPROVAL <br />C 1 <br />❑ IOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />C <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 />a o <br />s <br />i <br />