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PUBLIC WORKS <br /> ��E�E:t' fNSPECTIQN REQUEST <br /> � Address �SZIo SM/TiSt 5T <br /> Coniractor <br /> Owner EAK'Al/-tAIP% <br /> Date 5- �0� g� _ Time <br /> NPE OF INSPECTION REC�UESTED <br /> C7 SIDE SEWER <br /> ❑CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> i � <br /> � � INSPECTION REOUESTED ON p �� r ME <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> � ❑Corrections listed below MUST BE MADE before work can be approved, <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑Was not able to pertorm inspection. <br /> ❑ CALL 259-II81Q FOR REINSPECTION— 24 hour nolice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PRFMISES PRIOR TO OCCUPANCY. <br /> 7�m �£iPl)7/T �2/8� <br /> HnrISF' �ouJN — No /NSPEC'.T/ONS /PE�J�.TF� <br /> I�spector Date <br />