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PUBLIC W�RKS <br /> INSPECTl��1 REQUEST <br /> Address C 2 —�-���'' ) � <br /> Contractor _L.� ��H ` s t --- <br /> wner <br /> Date � �/_�. Time -- <br /> TYPE OF INSPECTIO� REOUFSTED <br /> � SIDESEWER <br /> ❑ CURB/GUTTER/SIDEWFlLV< <br /> ❑ STREET <br /> f � _ <br /> INSPECTION REQUESTED ON � Cu � <br /> -� ;-�p-Y- �- <br /> L��APPROVAL ❑ PARTIAL APPROVAL <br /> I' ❑ VIOLA?ION ❑ CORRECTIOti� REQUIRED <br /> ❑ Corrections listed belovr MUST [3E MADE before work can be approved. <br /> ❑ Please conlacl inspector and arrange for appointment. <br /> ❑Was net a�le to perform inspection. <br /> ❑ CA�L 259-8810 FOR REINSPECTION — 24 hour nolice requir,d. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> --�,_� �, � .. <br /> Inspector -� - ���� ��Date% /�, � <br />