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PUBLIC WORKS <br />�,����« INSPECTION REQUEST <br />� S �3A <br />Address ��� � � �� Z <br />Contractor .Dc:/' ���� liii�Gli1 <br />��� <br />Owner � � � � � � <br />Date_����_ Time <br />TYP[ OFINSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURD/GUTT[R/SIDEWALK <br />���� C7STREET , <br />! C�� �.--�.��� , I� fA� A-P, �, ��. l'_ , � <br />i INSPECTIONREQUESTEDON e —@ r•. <br />�� � <br />.� �I <br />�PPROVAL ❑ PARTIAL APPFOVAL <br />❑ OLATION ❑ CORRECTION REQUIRED <br />❑ Correciwns lis�ed below MUST 8E MADE before work can be approved. <br />L7 Please contact inspector and arranye for appoinimcnl. <br />❑ Was not able to perform inspection. <br />❑ CALL 259-8810 FOR REINSP[CTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHFlL� BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />�'feaS� cur����-CL�-. <br />InsPector �_i /� 1.=�'�" �� —.—Date /�� <br />