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PUBLIC WORKS <br />INSPECTION REQUEST <br />Address _��� I�1 �.f ���_. <br />Contractor _ � r- � � � : ic� e�r <br />Owner � a n .- <br />Da�eJ�1� p�93 Time <br />TYPE OF INSP[CTION REOUESTED <br />I 1 SIDE SEWER <br />' � CURB/GUTTEfi/SI�EWALK <br />S7REET � <br />� �� �—...n�_. <br />INSPECT�ON REOU[STED ON 12�3 p�53 <br />1�APPROVAL I l PARTIAL APPROVAL <br />(l VIOLATION C] CORRECT'ON REQUIRED <br />'' Correchons 6stetl below MUST BE DAADE befo�e work can hc approvn�l <br />�, �. Please contacl inspeclor and erranye lo� appointment <br />f! Was not eble to perform Inspeclion. <br />[ 1 GALL 259•8810 FOR REINSPECTION —?4 houi nob���• ru��wmd <br />A CERTIFICATE OF OCCUPANCY SHALL Eif i`;SU( I� ANI) F'(lSif f7 ON <br />7HE PREMISES PRIOR TO OCCUPANCY <br />Inspector � �i:ii��%�B��J <br />c <br />