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�I <br /> PtlBI.IC WORa(S <br /> � INSPECTION RE(�IJEST <br /> Address b'„�J��y�U�(it_. <br /> Contractor <br /> Owrar _ 1—v��Pr �r��n /vlQ�f� <br /> Da��>��_��_ Time <br /> TYPE OF INSPECTION REOUESTED <br /> SIDE SEWER <br /> CURB/GUTTER/SIDEWAIK <br /> STREET <br /> x_S��_��,��_� •.�, t,�/6 <br /> INSPECTION REQUESTED ON @ _ <br /> �,,,� ��.,,— <br /> ❑ APPROVAL CI PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE I�efore viork can be approved <br /> ❑ Please contact inspector and arrange (or appointment � <br /> ❑ Was not able to per(orm inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTIpN —24 hour notice required. <br /> A CEF�TIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> Tl�E PREMISES PRIOR TO OCCUPAMCY. <br /> �//�� '� � <br /> ��-J� {N /Q � �. <br /> —��c 4�r>,., , C1n 7l� -� �,�n �.��S Yl2fsin�� � _ <br /> , ,G <br /> i � <br /> p�i,.�� ��i {��C�.��N!'r! lPc�:c: ,r�FOr__�l � ��CG�c� <br /> _ (� <br /> Inspeclor �� _ � Date .27� � � . � �' �"�'p� <br /> o c,l <br />