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i <br /> PU�LIC WORKS � <br /> . <br /> � INSPECTION REQl1EST ; <br /> Address �U$�2g �7T1� �Q-✓�= S� <br /> Contractor � <br /> Owner d'�-�l� LY+w�nu2�r»r- j <br /> i <br /> Date �'2S s� Time <br /> TYPE OF INSPECTION REQUESTED I <br /> ❑ SIDE SEWER <br /> L_i CURD/GUTTER/SIDEWALi< <br /> ; STREET <br /> C',./ /�lRLZ2147tod S}'S 7E� — <br /> INSPECTION REQUESTED ON @ <br /> pA1E �i`d[ <br /> PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> f ! Corrections listed below MUST BE MADE 6efore work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was nol able to perform inspection. <br /> ❑ CALL 259-8810 FOR REINSPECTION — 24 huur notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> lN�ty7Rl�zia.✓ �'Y�7E✓"� �"nR �vr' <br /> �QUn/ oFF /�Zfk/-Et� 1.•� i4Cc�2.oi4X�� <br /> Wr t!F G Z UF S PA��S <br /> � <br /> S-rj' $ i <br /> Inspector ����1����� Date �'Z � <br />