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PUBLIG WORKS� �z <br />INSPECTION REQUEST <br />a��d�ess r/5 e �� — <br />Contractor <br />Owner <br />Da�c�_��/7l Q/ iime <br />Tl'PE OF INSPECTIUN REQUESTED <br />�IDE SEWER <br />� ; CURB/GUTTER/SIDEWALY, <br />] STREET <br />�� <br />INSPECTION REQUESTED ON '�` <br />onic isv <br />�i-APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections lisled below MUST �E M�DE before work can be approved. <br />❑ Pleasc contacl inspeclor and arrange for appointment. <br />❑ Was not able to periorm inspection. <br />❑ CALL 259-8810 FOR REINSPECTION — 24 hour nolice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PRF,{JISES PRIOR TO OCCUPANCY. , <br />insPector _( `�,��/�� _D�le�'1'��?/ <br />