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PUBLIC WORKS <br />INSPECTION REQUEST <br />Address _ /�3/ rP � <br />Conirac�or <br />Owner <br />Oate � � `� <br />r <br />I Time __ � . (' V <br />TYPE OF INSPECTION REQUESTED <br />�SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />❑ <br />INSPECTION REOUESTED ON�° @ � j :�� �� <br />un � rune <br />,� APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corredions listed below MUST BE MADE before work can be approved. <br />❑ Please coMact inspector and arrange lor appointment. <br />❑ Was not able to pertorm inspection. <br />❑ CALL 259-8870 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />