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PUBLIC WORKS <br /> INSPECTION REQUEST <br />� Address ��y2 7 —/ 9y��� f C <br /> Contractor <br />' Owner lJ�,rYa, � <br /> Date ��Zq" Q�7 Time <br /> TYPE OF INSPECTION REQUESTED <br /> L�f,3 <br />� ❑ SIDE SEWER <br />� ❑ CURB/GUTTER/SIDEWNLK ���M� 9G/Y�0 <br /> ❑ STREET <br /> �� <br /> INSPECTION REQUESTED ON @ <br /> onTE mae <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRcD <br /> ❑ Corrections listed below MUST BE MADE be(ore work can be approved. ' <br /> ❑ Please contacl inspector and arrange(or appoiniment. <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 PFiIOR TO OCCUPANCY. <br /> i � <br /> I ' � �r <br /> r � <br /> Inspector _Date <br />