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PUBLIC WORKS <br /> INSpECTIQ►N REQUEST <br /> Address ld� � 3 l � `Y �- Sr <br /> Cor.tractor <br /> Owner /� o�' P `� �r �'« h. <br /> Date 3 � � _ Time <br /> TYPE OF INSPECTIOt� �E�ESTE��D � <br /> �IDE SEWER � <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> ❑ — <br /> INSPECTION REQUESTED ON �� @� <br /> .,,,,. •��.,E <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORREGTION REQUIRED <br /> 7 Correclions lisled below MUST BE MADE be(ore work can be approved. <br /> [ : Please contacl inspeclor and arrange tor appointment. � <br /> ❑ Was not able to perform inspection. I <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 /> � ���9-�<..,-,i <br /> �' C`� ` � <br /> �.Q,�_��G' ' —�i n� <br /> ��� <br /> Inspectoe�/tys��'� .l _Date/�j7 <br />