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PUBLIC WORKS <br /> INSPECTION �EQUEST <br /> Address �� � 7 / 9r � � _� <br /> Contractor <br /> wner �.., �r r � <br /> Date_�/�o � Time <br /> TYPE OF INSPECTION REQUESTED <br /> '_ SIDESEWER /�� � Z I <br /> �` � <br /> '� CURB/GUTTER/SIDEWALK <br /> ❑ STREET I <br /> ❑ I <br /> INSPECTION REQUESTED ON_ a �'�@ TJ: � o , <br /> �,.,,_ r�.., <br /> PROVAL ❑ PARTIAL APPROVAL ' ; <br /> C7 VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed betow MUST BE MADE before work can be approved. <br /> ❑ Plea;e contacl inspedor and arrange for appointmeN. <br /> ❑ Was not able to perform inspection. I <br /> ❑ CALL 259-8810 FOR REINSPECTION —24 hour notice required. i <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON � <br /> THE PREMISES PRIOR TO OCCUPANCY. I <br /> �Q���—�� <br /> � <br /> Inspect r / Date�����G' <br />