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PUBLlC WORKS <br /> e�e�e« INSPECTION REQUEST <br /> � Address _-1��71=��� 'r'��'° CF <br /> Contractor <br /> Owner �7Zltl'L' Cb/LS7C — <br /> Date g�/� '� Time <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDESEWER ���V1 '� 75��✓ <br /> ❑CURB/GUTTER/SIDEWALK <br /> O STR T �� <br /> . KY�I�SP A /�i�/`�G I <br /> ✓� <br /> INSPECTION REQUESTED O^� �p,t @ „ME <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ P eraset onta�cien�spec�or and arBangeA oE ppoinlme^Tcan be approved. <br /> ❑Was not able to pertorm 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 /> Inspector <br /> L�j1 � �-�— Date g"1 Z=`( J� <br />