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PUBLIC WORKS <br /> INSP�ECTION FiEQl�EST <br /> Address ,_/O U /� � s j�-4 Ct� <br /> Contractor <br /> g��-,�-��----_-.___ <br /> Owner �� <br /> Date ) � j' Time <br /> TYPE OF INSPECTION REQUESTED <br /> �SIDE SEWER <br /> ❑CURB/GUTTER/SIDEWALK <br /> I7 STREET <br /> ❑ <br /> INSPECTION H[QUESTED O S /1- F C� >p' 1 v <br /> arE .�r.,e <br /> ,�.APPROVAL ❑ PARTIAL APPROVAL <br /> O VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and a«ange for appoiniment. <br /> ❑ Was not able to pertorm in;pection. <br /> ❑ CALL 259-8810 FOR REINSPECTION —24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHAL.L BE ISSUED AND POS'�ED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> �� �. <br /> ���� <br /> ������ _ <br /> -_ - <br /> inspector l <br /> Date T(y/�_ <br />