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PUB�ic woRKs <br /> INSPECTION REQUEST <br /> j" Address �Q//9' � ��_��— <br /> Contractor <br /> � „� �� Owner <br /> i <br /> Date Time <br /> ��. . <br /> ' ' TYPE OF INSPECTION REQUESTED <br /> ; , . <br /> � � ❑ SIDE SEWER <br /> � `._ <br /> { �;. ❑ CURB/GUTTER/SIDEWALK <br /> a.:, <br /> i:� ❑ STREEI <br /> ❑ <br /> I ,, . ; INSPEC ION REQUESTED ON @ :O o <br /> � 1 illAE <br /> �'`;'. PROVAL ❑ PARTIAL APPROVAL <br /> VIOLATION ❑ CORRECTION R�QUIRED <br /> ❑ Corrections listed below MUST BE MADE be(ore work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 259-8810 FOR qEINSPECTION —24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> f <br /> I <br /> Inspecto Datel �, <br />