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�UBLIC WORKS <br /> INSPECTION REQUEST <br /> Address _�J���-S`f i'rK S� —_ <br /> Contractor _ — <br /> Owner _—�-? �ttn��- -- <br /> Date�.L—(�p -9 y Time - <br /> TYPE OF INSPECTION REQUFSTEDp, <br /> I�� SIDESEWER l���M� T ` �//L � <br /> �._ CUFB/GUTTER/SID[VJALK <br /> ��. i gT��EF7 <br /> � �Kql - <br /> INSPECTION REQUESTED ON t �il ,,,,, <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> '-7 Correclions listed below MUST BE MADE betorc work call I]C UPP��YCd. <br /> I i Please contacl inspector and arrange tor appoiniment. <br /> ❑ Was not able to pertorm inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour nolire required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTE� ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> / '� Da1e ��-3� <br /> Inspectoi —� <br />