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� <br /> PUBLIC VUORKS <br /> IFISPECTION REQUEST <br /> Address �� -w`"'-�'�-� ""- ��� <br /> Contractor _�-� �-- ��-� <br /> / <br /> Owner __�1'O�� <br /> Date_ 7"3" r'/ / Tiine _ 3- �j=_ <br /> TYPE OF INSPECTION REOUESTED <br /> �(,SIDE SEWER <br /> il ClIRB/GUTTER/SIDEWALK <br /> ❑STREET <br /> INSPECTION REQUESTED ON_/ ' t�� /. -3v <br /> o,a� n�•i <br /> k7APPROVAL i.-1 PARTIAL APPROVAL <br /> f� VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed belovr �,1UST 8[ t.9FlDE befare work can be apnroved. <br /> ❑ Please coMacl inspector and arrange tor appointmeni. <br /> ❑Was not able to per(orm inspection. <br /> ❑CALL 259-8810 FOR REINSPECTION —24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SfiALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> �� <br /> ` / /� r � <br /> ��fJ�.. �--Q_ . w- <br /> a � f�j--- <br /> ✓- r �" o / �'��_ B " ' � -_ - <br /> / / i i <br /> Inspecto � Date �� _ . <br />