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PIJBLIC WORKS <br />e��«�tt INSPECTIOIV F�EQUES4 <br />� Address -,il'1913� �/✓A �.�Jc <br />Contractor / � a <br />Owner <br />Date 1�%�S� Time <br />TYPE OF INSPECTION REOUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALI< <br />❑ STRpEET <br />�-67 —f-`�-L�sL�""_'� � — <br />INSPECTI�EQUESTED ON_ _ �'�' <br />;,�,,� ���.,t <br />❑ APPROVAL ❑ PARTIF�L APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE be(ore work can be aPP�oved. <br />❑ Please conlacl inspeclor and arrange for nppointment. <br />❑ Was not able to perform inspection. <br />❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATF OF OCCUPANCI' SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />