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! <br /> � �� <br /> A � x <br /> C N <br /> � H[/� <br /> H � � <br /> fC c] <br /> pH :U <br /> 'i1N � <br /> CA H <br /> z <br /> o� d <br /> ��g <br /> �r n <br /> ry� <br /> F-+ y <br /> gy <br /> H <br /> C7 G!/� <br /> [ '�" <br /> H V� <br /> y � �' PUBLIC WORKS <br /> �:�<<��t INSPECTION REQUEST <br /> � Address i 7`Q8 �a`� ;r,- ��,- <br /> Contractor ���� �i��� <br /> Owner <br /> Date �— — / Tiine <br /> TYPE OFINSPECTION REOUESTED <br /> '�' �"' IDESEWER <br /> � � ❑CURB/GUTTER/SIDE�'JALk< <br /> � ❑ STREET <br /> I ' � --- <br /> 1 ' INSPECTION REQUESTED ON s' �' � — _ �' � <br /> � i,� -- <br /> 1 � APPROVAL ❑ PARTIAL APPROVAL <br /> ' VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correctlons listed belov:MUST 8E MADE belore work can be ap�xoved. <br /> ❑ Please contact inspector and arran9e for appointment. <br /> � ❑ Was not able to pc-rfonn inspection. <br /> �j ❑CALL 259-8810 FOR REINSPECTION — 24 hour nolice required. <br /> � A CERTIFICATE OF OCCUPANCY SHAL: BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TQ OCCUPANCY. <br /> ' -- <br /> �� (�,� � 1J1'/L. <br /> �' <br /> �' <br /> InsPec�or __ _ _ _U--- " -- f1nU, � �'J <br />