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� PUBLIC WORKS <br /> eV�«« �NSPECTION REQUEST <br /> � Address ���� > h-F' /�, S� <br /> Contr,ctor — — Sc.R <br /> Pwner <br /> Date� � S 1 U Time _ <br /> TYPE OF INSPECTION RE�UESTED <br /> j�,C�DE SEWER <br /> ":; CURB/GUTTER/SIDE�V�Lf< <br /> STREET <br /> ❑ <br /> � <br /> INSPECTION REQUESTED ON��5 � �<����,� <br /> � PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> �- Corrections listed below MUST BE A4ADE belore work can be apProved. <br /> � I Please contacl InsP���or and arrange for appoinimenl. <br /> u Was nol able to pertorm inspection. <br /> ❑ CALL 259•8810 FOR RE�NSPECTION — 24 hour notice required. <br /> A CERTIFICAT[OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> � <br /> n - ' <br /> . <br /> � �' -! —, — <br /> Inspector � _Date 5 � <br />