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4 PUBLIC WORKS <br />INSPECTION REQUEST <br />Address <br />Contractor <br />Owner a��� <br />Date_ Time <br />TYPE OF INSPECTION REQUESTED <br />� IDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />[]STREET <br />INSPECTION REQUESTED ON @ <br />DATE 11ME <br />APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <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 PRIOR TO OCCUPANCY. <br />