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} <br /> PUBLIC 1NORKS ; <br /> I�dSPECTION i�EQUEST ' <br /> Address ��--�'—` �-' '�— <br /> Contractor <br /> wner ��..—��� � <br /> Date_�� � � � Time <br /> TYP� OF INSPECTIOP: REQU�ST�,D <br /> j �L�Z <br /> �IDE SEWER / b � <br /> ❑ CUR9/GUTTER/SIDEWALK <br /> ❑ STREET <br /> � ._ -- <br /> INSPECTION RE�UCSTED O 1-J � C� �v � o_ <br /> nm m�e <br /> Ai'PROVAL O PPRTIAL APPROVAL <br /> 0 VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed beiow MUST BE MADE be(ore work can be apFroved. F <br /> � ❑ Please contact inspector and arrange for appointmenl. <br /> ❑Was nol able to pertorm inspectior <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 /> i <br /> { <br /> ��� i�. �'�a <br /> --, <br /> i / P <br /> ` � �� <br /> +.1 <br /> � <br /> � <br /> E <br /> i! <br /> ! <br /> Data�� L � � <br /> Inspecror � <br /> � <br /> _ .__ _ _._ _ <br /> � <br /> � <br /> i <br />