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�: <br />�� <br />Date <br />PUBLIC WORKS <br />INSPECTI0�1 REQ�JEST <br />Address �3i7�' S.S�.S%(� <br />Contractor <br />Owner !�l �-�fif� <br />Time <br />TYPE OF INSPECTION REQUESTED �� 3 9 <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK ���'� � " 6( �G % <br />❑ STREE <br />� �, �l <br />INSPECTION REQUESTED ON �� <br />c.re ` �ic�e <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />� C�rrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and airanye for appointment. <br />❑ Was n�t able to perform inspection. <br />❑ CALL'e59•8810 FOR REINSPECTION — 24 hour natice required. <br />A C[RTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCl1pANCY. <br />Inspector Date <br />