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PUBLIC WORKS <br />INSPECTION REQIJ�EST <br />Address %�/� W�7/K4�� �✓� <br />Contractor 0�r?f/N�Y C�odlS'T. /,�/C�. <br />Owner -S�""F — <br />0-�-'i% Time 2%�� P.M . <br />Date / <br />TYPE OF INSPECTION REQUESTED <br />f.' SIDE SEVJER <br />�. '�. CURB/GUTTER/SIDEWALK <br />STREET <br />✓�r41�✓AbE /NG�LZR�T/O✓ SiSTEM'� <br />INSPECTION REQUESTED ON i«� <br />r:.•� ,..� <br />C� APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />: 1 Corrections li,ted below MUST B[ t�1ADE before work can be approved. <br />: 1 Please con?od inspecio� and arranyr. for appointment. <br />� 1 Was not able to perio�m inspection. <br />❑ CALL 259-8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY 51IALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />In,nector <br />Date �� �'—�7 <br />