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PUBLIC WORKS <br />� INSPECTION REQUES4 <br />Address 2 C7 �Q_L�y: Sf Sr <br />Contractor �r-c <br />Owner �a n. �_ ____ <br />D�tP._ Time <br />• TYPE OF INSPf CTI�JN REOUESTEf) <br />SIDE SEWER <br />' � CURB/GUTTER/SIDEWAt. i�. <br />ISTREET � <br />INSPECTION REOUESTED ON <br />I 1 APPROVAL [ 1 FARTIAL APPROVAL <br />I 1 VIOLATION f 7 CORRECTION REQUIRI=U <br />�'. i Correclions fisted below MUST BE PAADF helore work r.an bf� approvr� I <br />'! Please contect insper.tor and arrenc�e lo� appomlment. <br />f 1 Was not eble to perform mspectlon. <br />[ 1 CALL 259-BB10 FOR REINSPECTION — 24 hour notice requireA. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />1fiE PREMISES PRIOR TOOCCUPANCY <br />__ /.__�� � <br />InsPedorC _ � .C�;� -- --D�le _..L' �� <br />