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PUBLIC WOf�KS <br />INSPECTION REQUEST <br />Address _��� �a- � �" �l� <br />Contractor (, n �%� ` +� <br />Owner - <br />Date��(��— Time - <br />TYPE OF INSPECTICN REQUESTED <br />'�'CSIDE SEWEfi <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />❑ -- <br />INSPECTION RE�UESTED ON� s� /D• �3'' <br />n � ru.�� <br />PPROVAL ❑ PARTIAL APPROVAL <br />� VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE betore work can be approved. <br />❑ Please contact inspedor and arranye for appoinlment. <br />❑ Was not able to perform inspeclion. <br />� CALL 259-8810 FOR REINSPEC?ION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL B[ ISSUED AND POSTED ON <br />THE PREMISES PRIOR TCf OCCUPANCY. <br />