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PUBLIC WORKS <br />INSPECTION? REQUEST <br />Address —020y =/ �'�� <br />Contractor <br />Owner / ►'1CC0' mick <br />Date 7-/P—LD Time <br />TYPE OF INSPECTION REQUESTED Lf 7 <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK 4713k(, <br />❑ STREET <br />INSPECTION REQUESTED ON �a <br />WE .i .. <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 />Inspector <br />Date 7—b'w <br />