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PUBL1� WORKS <br />���'�ett INSPECTION REQUEST <br />� Address �.�--'-`v����_ �"%�✓ — <br />Contractor <br />Owner /'/���SD/U �NSI� <br />Date S— `�— `Il Time _ <br />TYPE OF INSPECTION REOUESTED <br />7 SIDE SEWER <br />C; CURB/GUTTERlSIDEWALK <br />� STREET <br />�� <br />INSPECTION REQUESTED ON —�' <br />onie rimr <br />❑ APPROVAL C] PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />i7 Corrections listed below MUST BE MADE before work can be approved <br />[ l Please contacl inspector and arrange ior appointment. <br />❑ Was not able to pertorm inspection. <br />❑ CALL 259•8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OGCUP.ANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />— ' � // _ = , <br />� • � / � � . // + <br />Inspector <br />