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PUBLIC WORKS <br /> ������ INSPECTION REQUEST <br /> � � � ` - <br /> Address �_lJ�V�—� J <br /> � Contractor � �� - <br /> "�"I��IZ Owner <br /> Da�e � "�-C Q Time � '� <br /> TYPE OF INSPECTION REQUESTED <br /> -jp pIDE SEWER <br /> v <br /> �� CURB/GUTT�R/SIDEWALK <br /> ❑ STREET <br /> n ---- <br /> INSPECTIONREQUESTEDON__pr �� ,�„� <br /> � APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> O Corrections lisled below MUST BE MF�DE before work r,an be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑Was not able to perform inspection. <br /> ❑ CALL 259•8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL 8E ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> � lyd <br /> Inspector Date� � <br />