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PUBLIC WARKS <br /> lNSPECTION REQUE�T <br /> Address ��yl'�� � �/�' ���r � / <br /> Contractor '� <br /> O ner <br /> Date � 7imc _ <br /> ��� <br /> TYPE OF INSPECTION REQUESTEU <br /> �C$IDE SEWEF <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> G <br /> NSPECTION REQUESTED ON� y � �`��' ,,,,� <br /> PROVAL ❑ PF+RTIAL APPROVAL <br /> O VIOLATION ❑ CORRECTION REQUIRFD <br /> ❑Correclions listed below MUST BE MADE be(ore work can be approaed. <br /> ❑ Please contact inspedor�nd arrange tor appointment. <br /> p Was nol able to pertorm inspection. <br /> rl CALL 259•8810 FOR FEINSPECTION —24 hour notice required. <br /> A CERTIFICATE OF OCCUf'!�f`JCY SHALL B[ ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> � <br /> _Date l �-� <br /> Inspector _� <br />