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PUBLIC WOR�S i <br /> IR!�PECTION R�QUEST I <br /> Address g�6 —S�� �Ll11_ <br /> Contractor _ <br /> Owner � /� F�n /P✓ <br /> Date �o —��'J'��_ Time <br /> TYPE OF INSPE�TION REQUESTED L��,f <br /> SIDE SEWEF � q <br /> CURB/GUTTER/SIDEWALK ����7_ `/7� <br /> STR T <br /> INSPECTION REQUESTED ON @_ <br /> omc nr.�� <br /> �- PPR�VAL ❑ PARTIHL AI'PRGVA <br /> '7 VIOLATION ❑ CORRECTION REQUIRED <br /> ". Corrections listed below MUST BE �b1AD[ belor=work can be approved. <br /> : 1 Please contact inspector and arrange lor appointmen�. <br /> ❑ Was not able to perform inspeclion. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 hour r�olice required. <br /> A CERTlFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> Tf1E PREMISES PRIOR Tt� OCCUPANCY. <br /> i <br /> Inspector � Date � , <br /> { <br /> 1 <br />