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PUBLIC WORKS <br />r INSPECTION REQUEST <br />Addiess <br />--- <br />Contractor�- <br />Owner .�,�[�3/.411- _ <br />Date5-11X 11F3 / TimE, _ <br />TYPE OF INSPECTION REQUESTED <br />JOZjDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />11 <br />INSPECTION REQUESTED ON�� 3—@ 19* <br />DATE TIME <br />)1 f-APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to perform 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 />Date 5//Z Ff <br />