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i <br /> I <br /> PUBI.IC WORKS <br /> INSPECTION REQUEST <br /> Address �Q �� S - �� �h� �.� <br /> Contractor <br /> Owner ��f�a h <br /> Date_� — 2-q -R 7 Time <br /> TYPE OF INSPECTION REQUESTED t � <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK ���M� �6/��� <br /> ❑ STREET <br /> �, �,�..P <br /> INSPECTION REQUESTED ON @ <br /> DniE iIM1:L <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED , <br /> ❑ Corrections listed below MUST SE MADE betore work can be approved. <br /> ❑ Please contact inspeclor and arrange for appointment. <br /> ❑ Was not able lo perform inspection. <br /> ❑ CALL 259•8810 FOR REINSPECTION —24 hour ro�ice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> � � <br /> 1 <br /> � <br /> \ <br /> Inspector Dale �� <br /> I <br /> iI <br />