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PUBLIC WORKS <br />INSPECTION REQUEST <br />Addr�ss � � l �J �—��-- _ <br />--�' —t--- -- � <br />Contractor �f- � .�r. : �N... j <br />Owner � u«.1 __ __ _ <br />Da�e__1.��J--[-1---._ Time <br />TYPE OF INSPECTION REOUESiED <br />! '. SIDE SEWER <br />CURB/GUTTEfi/SIDEWM H�.. <br />STREET <br />� <br />i�J�* � ---'_ I _/ <br />INSP[CTION REQUESTEDO�_1�1F3__ _ �� _ — <br />,..:,, ... <br />PPROVAL � 1 PARTIAL APPROVAL <br />Il VIOLATION I 1 CORRECTION REQUIRED <br />'. 1 Corrections hsteJ below MUST DE MADE helore woik can br a��pn�,�����1 <br />! Please conta�.� inspeclor and erranyP foi %ippoinlmvnl <br />f 1 Wes not able to perform Inspection. <br />i-:I CALL 259-8810 FOR REINSPECTION — 24 hnui n�h�-F� r��r�in���d <br />A CEFTIFICAT� OF OCCUPANCY SHALL �C ir,�;u[ f� nNU I�� �°, I f U� iN <br />THE PREMISES PRIOR TO OCCUPANCY. <br />��i.� .�_.__�//-�`� "_ //_,��' . <br />