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PUB��C WORKS <br /> �e"e�e`t INSPECTION REQUEST <br /> Address ��S i�� 3��� /� � <br /> Contractor � � <br /> Owner /J��,� � <br /> Date <br /> Time <br /> ,/�� 7YPE OF INSPECTION REQUESTED � <br /> �tiiDE SEWER <br /> ❑CURB/GUTTER/SIDEWALK <br /> ❑STREET <br /> ❑ <br /> INSPECTION REQUESTED ON .g � <br /> @ <br /> [�APPROVAL � ' <br /> ❑ VIOLATION � PARTIAL APPROVAL <br /> ❑Corrections listed below MUST BE OqpOb R e Wa kON RE QUIRED <br /> ❑ Please comact inspector and arranoe for a Pnroved. <br /> ❑ lNas not able to perform inspection. Ppointment. <br /> ❑ CALL 259•8810 FOR REINSPECTION —2q hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISE3 pR10R TO OCCUPANCY. <br /> , <br /> .� <br /> Inspector � <br /> , � Date �e f—_'Y_"-- <br /> < <br />