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PUBLIC WORKS <br />` INSPECTION REQUEST <br />� <br /> j Address — �7�� '.Z����f �f'� <br />� Contractor <br /> Owner �-�L <br />( Date 9- oZ-"9�7 Time <br />� TYPE OF INSPECTION REQUESTED <br />' ❑ SIDE SEWER Ld f� ' <br />� ❑ CURB/GUTTER/SIDEW,4LK J_l1IP�+'� ��0� <br /> ❑ STR�c ET <br /> . @�- 'T i N a� � �, <br /> � i <br /> INSPECTION REQUESTED ON @ <br /> oare nraE <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑Correctio�s listed below MUST BE MADE be(ore work can be approved. <br /> � P�ease contact inspector and arrange (or appointment. <br /> ❑Was not able to perform inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION —24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCf1PANCY. <br /> Inspector Date /'y—/� <br />