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PUBLIC WORKS <br /> cverett �NSPECTION REQUEST <br /> � � <br /> Address 1���---� ���"� <br /> Contractor <br /> Owner ����LEk'.�BAQL'7E1`' <br /> Date .5�- 9-S'/ Time _ <br /> TYPE OF INSPECTION REI�UESTED <br /> O SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> !� <br /> � INSPECTION REQUESTED ON p rE �� r�ME <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> � ❑ Please contact inspector and arrange for appoinlment. <br /> I ❑Was not able to peAorm inspeclion. <br /> ❑ CALL 259-8810 FOR REINSPECTION— 24 hour notice reauired. <br /> � A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> No /nr��r'rii)iLCS �'�n,,,�"�,—F� dtil <br /> .�E/�c� PE12m/T ?/�f�� <br /> i <br /> Inspector Date <br />