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PUBLIC WORKS <br /> �°r«« INSPECTION REQUEST <br /> � Address � ' 1/ ' y/- .�,.�� ��—_ <br /> � <br /> Contractor Ly� � �— <br /> Owner <br /> Date�.?� � � Timu <br /> TYPE OF INSPECTION REOUESTED <br /> �DE Sft4ER <br /> .'.CUFB/GUTTER/SIDEWALK <br /> :"'.STHEET <br /> il <br /> INSPECTION REQUESTED O ��� t;� �-�� � <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> O VIOLATION ❑ CORRECTION REQUIREU <br /> Li Correclions hsled below h1U5T 8[MADE befoic work can 6e approved. <br /> f]Please con�act inspec�or and mrant�e for appoinimenl. <br /> ❑Was not able to pedorm inspection. <br /> ❑CALL 259�BB10 FOR FEINSPECTION—24 hour noiice required. <br /> 4 CERTIFICATE OF OCCUPANCV SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PHIOR TO OCCUPANCY. <br /> � B,� �/�- <br /> i <br /> Irrspactor � Dei <br />