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PllBLIC WORK� <br />eVPf�" INSpECTION REQU�ST <br />� Address r2%�21L✓� l�/y i/ 2 <br />Contractor _ t1o� Q r� <br />✓ <br />Owner <br />D3te_ �� l2 �{l�-� Time <br />/ <br />TYPE OFINSPECTION REQUESTED <br />Il SIDE SEWER <br />t ] CURB/GUTTER/SIDEWALK <br />L]STREET / �t <br />� i3-.��'L�,�Tvn��ra�i��,Ya� <br />INSPECTION REQUESTED ON @ <br />i• �� DAiE illdE <br />� ' ❑ APPROVAL ❑ PARTIAL APPROVAL <br />;. � ❑ VIOLATION ❑ CORRECTION REQUIRED <br />.� � ❑ Corrections listed below MUST BE MADE belore work can be approved. <br />� ❑ Please contact in,pector and arrange tor appointment. <br />' ❑ Was not able to pertonn inspection. <br />❑ CALL 259-8811 FOR REINSP[CTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED Oh <br />THE PREMISES PRIOR TO OCCUPANCV. <br />Inspeclor <br />_ '�'� � <br />