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PUBLIC WORKS <br /> ��e�e�t INSPcCTION REQl�1EST <br /> � Address �� G � / � �5��� �� <br /> Contractor <br /> � <br /> Owner � o � �I- <- s '- �� <br /> Date •2—��' '_�% _ Time — <br /> TYPE OF INSPECTION REQUESTED <br /> �IDE SEWER <br /> ❑CURB/GUTTER/SIDEWALd <br /> ❑STREET <br /> � � <br /> INSPECTION REQUESTED ON__ l� <br /> on,e �i��, <br /> PPROVAL ❑ PARTIAL APFR�VAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE belore work can be approved. <br /> ❑ Please conlact inspedor and arrange for apPoiniment. <br /> ❑Was not able !o perlorm inspeclion. . <br /> ❑ CALL 259-8810 FOR REIlJSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PR[MISES PRIOR TO OCCUPANCY. <br /> . . - <br /> InsPector � � �� ' . ./�. �� �= Dc�te" / " � � <br />