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PUBLtC WORK� <br /> E����tt INSPECTION R�QUEST <br /> � Address !� � � � �5/ �r S�. <br /> Contractor _ <br /> Owner <br /> Dates��5�— Time � ./ V _ <br /> ��� <br /> TYPE OF INSPECTION REQUESTED <br /> ;-; SIDE SEWER <br /> :_ CURB/GUTTER/SIOEWALK <br /> "7 STREET � / <br /> J �.,� .. <br /> INSPECTION REQUESTED ON @ <br /> o�'- +ua[ <br /> L�i APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> � Corrections listed below MUST BE MADE belore work can be a <br /> ❑ Please coNact inspector and arrange for appointment. <br /> ❑Was nol able to perform inspection. <br /> ❑ CALL 259•8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> / , <br /> Inspecl �- ��� Date� � � <br /> —� - , - <br />