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4 PUBLIC WORKS <br />INSPECTION REQUEST <br />Address a�L� <br />Gontractor--1/-rLST 12a-' . Q — <br />Owner � � e <br />Date_-- Time —_ <br />TYPE OF INSPECTION REQUESTED <br />SIDE SEWER <br />I ; CURB/GUTTER/SIDEWALK <br />I'STREET <br />INSPECTION REOUESTED ON <1' -- <br />11AIC 111.�1 <br />;)QPPROVAL ❑ PARTIAL APPROVAL. <br />[ I VIOLATION L] CORRECTION REQUIRED <br />I Corrections listed below MUST BE MADE before work can be approved. <br />' Please contact inspector and arrange for appointment. <br />I I Was not able to perform inspection. <br />Ll 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 />Inspect <br />