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PUBLIC WORKS <br /> INSPECTION REQUEST <br /> I . <br /> Address �' I n'� _ c���y � /� ���,.... <br /> Contractor <br /> Owner __7��(�- <br /> Date Time <br /> I' : TYPE OF INSPECTION REQUESTEC <br /> I ❑ SIDE SEWER <br /> i �., <br /> I ❑ CURB/GUTTER/SIDEWALK <br /> '� i , p STREEj � � <br /> � - , � / � / �/2 :� <br /> � , : INSPECiION REQUESTED 0 pA �° ri E j' <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> �0 LATION ❑ CORRECTION REQUIRED <br /> ❑Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for 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 OCCUPANCY. <br /> � <br /> I <br /> i ' <br /> j <br /> Inspect r <br /> � Date �� � <br />