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PUBLIC WORKS <br /> ���«« INSPECTION REQUEST <br /> � , � <br /> Address r//� 5����/��, Gt-f� �l� <br /> Contractor <br /> Owner <br /> Date_�— F� �� Time <br /> TYPE O� INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> 7 CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> ❑ <br /> . INSPECTION REQUESTED ON_ � <br /> onrc r�ME <br /> ❑ 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 apnointment. <br /> ❑Was not able to peAorm inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PF�MISES PRIOR TO OCCUPANCY. <br /> J � i� r�i �(' l� ��r,e�� F�� .9��A��,5�73�� <br /> Inspector _. <br /> Date _ — <br />