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PUBLIC WORKS <br /> IN�PEC1'ION REQUEST <br /> Address����/_�$�Y L{_ J�� <br /> Contracto �% �.. �� <br /> Date��O ner _ <br /> � 7ime <br /> �� <br /> f / TYPE OF INSPECTION REQUESTED <br /> X SIDE SEW[R <br /> / � <br /> ❑ CURB/GUTTER/SIDEWALK <br /> . ❑ STREET <br /> i7 <br /> INSPECTION f?EpUESTED ON (�/ G f9 �� S o c� <br /> � r <br /> ._ APPROVAL ❑ PARTIAL �PPROVAL <br /> ❑ IOLATION ❑ CORRECTION REQUIRED <br /> C7 Correc�ions Ils�ed belo�v F.7UST BE MADE belore work can br, nGip;oved- <br /> i7 Please contact inspi�ctrn nnd arrange tor appointment. <br /> u \Nas no� able to periomi inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF QCCUPANCY SHALL BE ISSUED AND POSTGD ��P1 <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> - �_�`�u,,,._ <br /> � Inspedo � - - _�'v2��f�����= Da�e `/—�!_/�.. <br /> __� - . <br />