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... . � <br /> PUIBLIC WORKS <br /> INSPECTION REQUEST <br /> P.ddress ��7 �n� rve.. ���C <br /> Contractor ��p��� s � ... _ <br /> Ovmer � 01( C a ��p <br /> Date �- � O Time _ <br /> TYPE OF INSPECTION REQUESTEQ I <br /> J�1llE SEWER <br /> � S�, �D��-I <br /> ' � �URB/GUTTER/SIDEWALK <br /> sTr��ET S�cver 3C78S <br /> INSPECTIONREQUESfEDON # ����.�G <br /> ,..� ,�:� <br /> PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTIOf' REQUIRED <br /> f;� Corrections listed below MUST BE MADE before worie ce„ue approved. <br /> ❑ Please con�act �nspedor and arrange lor appointment. <br /> ❑ Was not able to pertorm inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION —24 hour notice required. <br /> A CCRTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> 7HE PREMISES PRIOR TO OCCUPANCY. <br /> � v � <br /> r�� � , � _}..r l <br /> -�.--�d�Fa����� - <br /> In;pecior D2�e�� <br />