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„,.._. � <br /> PUBLIC WORKS <br /> INSPECTION REQUEST ' <br /> i.:.. Address �d ��� �-1 JJ. �, k S� <br /> � , <br /> Contractor <br /> i Owner ���us /\�s �n <br /> ' Date��,3 Time _ <br /> j�:• - �, <br /> I.,'' TYPE OF INSPECI'ION REOUESTED � <br /> 1 �IDE SEWER <br /> , �` ' <br /> � i ❑ CURB/GUTTER/SIDEWALK <br /> i : <br /> �. . <br /> ❑ STREET <br /> %�' � � � � <br /> ' ' � INSPECTION REQUESTED O @ �O� <br /> .,. i..,�,,- - ,m�. n�.,e <br /> "'� ” APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ .OLATION ❑ CORRECTION REQUIRED <br /> , ❑ Corrections listed belcw MUST BE MADE before work can be approved <br /> . ❑ Please confact inspector and arrange for appointment. <br /> O Was not able to perform inspection. <br /> ❑CALL 259•8870 FOR REINSPECTION—24 hour notice required. <br /> A CERTIFICATE Of OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> � �O ( ra.�,�� <br /> Inspector � Date �L ` � <br />