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PUBLIC WORKS <br /> cvere1 INSPECTION REQUEST <br /> � Address �G� SD 7 � ��X /L-K-e /✓ �_ <br /> � � <br /> Contractor � / ����<< � �"w�l<<�, <br /> w ne r ��.- � _. v <br /> Date1� � 7��� Time <br /> TYPE OF INSPECTION REOI,'FSTED <br /> :i SIDE SEWER <br /> C]CURB/GUTTER/SIDEWALK <br /> C� STREET <br /> 1 �/ i <br /> C I lJ ) �. '�Jr ��3 C F" --c- '�.iS <br /> INSPECTION REQUESTED ON /� � � @ %C' " <br /> o,a ui.,r <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> "1 Cerrections listed below MUST BE MADE before work can be appmved. <br /> L1 Please contact inspeclor and arrange for appoin�menl. <br /> ❑ Was not able to perlorm 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 /> 1�' !'- �✓ ` r � �/ �( ` <br /> Inspector _�_� - � ���Date�� � � r� <br /> / „ <br />