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P4JB�IC WORICS <br /> INSPECTION REQ�JEST <br /> Address _ �'�/'O z / y��.� 5� <br /> Coniractor _�}-sk ��,�,,,� <br /> �i <br /> Owner _J�:��c �.�, < � �� <br /> Date�7 �' Time <br /> TYPE OF INSPECTION REQUESTED <br /> �� SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALI< <br /> ❑ STREET <br /> G <br /> INSPECTIGN REOUESTED ON�J7_jl � <br /> ,� _ ,��'_ 7 J <br /> �.,•, <br /> - PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> i_i Corrections listed beloiv MUST BE �v1ADE before worl< can be approved. <br /> C' Please contact insper.�or and arranrye lorappoiniment. <br /> ❑ Was not able to perlorm inspection. <br /> u CALL 259-8810 FOR REINSPECTION — 2q hnur nolir.c rc�ur�:d. <br /> A CERTIFICATE OF OCCUPANCY SHALL C�L ISSUEL n.ND FOSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCV. <br /> � � ---— <br /> --- —_ <br /> �`'.� --— <br /> Inspector/� , p?'e�� q — <br /> C � <br />