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PUBLIC WORKS <br /> INSPECTION REQUEST <br /> j'; Address ��/Z '� �h�T�„ S,_�— <br /> j , <br /> Contractor <br /> ' Owner �� / �� - <br /> � ,,. <br /> i <br /> Date Time <br /> � ' TYPE OP INSPECTION REQUESTED <br /> �� itt�; �� � � ❑ SIDE SEWER <br /> � �;�;," ' ❑ CURB/GUTTER/SIDEWALK <br /> 1 � <br /> � O STREET <br /> �' : � �� � � �� n <br /> � �, � <br /> t r,,,; INSPECTION REQUESTED O TE _@ ' r�/DO— <br /> ��j�, .�� PPROVAL ❑ PARTIAL APPROVAL <br /> ,;�F. _ <br /> OLATION � CORRECTION REQUIRED <br /> :;1,:;;� : <br /> l,';'.-. � ❑ Corrections listed beiow MUST BE MADE before work can be approved. <br /> '.�Y,: '.., ❑ Please contact inspecror antl arrange for appointment. <br /> N" ❑Was not able to perform inspection. <br /> '� ' ❑ CALL 259-8810 FOR REINSPECTION —24 hour no!ice required. <br /> `r��� ' A CERTIFICA'fE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> �. . : <br /> �� ` THE PREMISES PRIOR TO OCCUPANCY. <br /> ;; <br /> —�_�� �5� '�'i <br /> ����, s�h �.�-�� ��_ � <br /> Inspector <br /> Date �_–'{�f� <br />