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PUBLIC WORKS <br /> ��Vef�« INSPECTIOi�I REQUEST <br /> � Address .�10 '�D(�N�c/�—s� <br /> Contraclor <br /> Owner ����� <br /> Date_ Time <br /> -iYPE OF INSPECTION REQUESTED <br /> � SIDE SE\VER <br /> �. -. CURB/GUTTER;SIDEWALK <br /> STREET <br /> � /l � 1 / � 0 _ _� '�fe— <br /> ( � <br /> � INSPECTION REOUESTED ON_ oe ;,,,,� <br /> ❑ APPRO\/AL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> :"'. Corrections listed belovd MUST BE MADE belore work r,an be approved. <br /> ,� Please conlact inspeclor and arrange for appointment. <br /> ❑Was not able to perlorm inspection. <br /> ❑CALL 259-8810 FOR REINSPECTiON — 24 hour nolice required. <br /> A CERTIFICATE OF OCCUP4NCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO aCCUPANCY. <br /> 1 <br /> _Date — <br /> Inspector -- <br />