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/�, <br />-,.►� <br />PUBLIC W'dRKS <br />INSPECTION REQUEST <br />AddrFss � �!�---1�—�/�_ S� <br />Coniractor �4 c�c.,�s ��.+...�_ <br />O�vner <br />Date _IJ}���_ Time <br />TYPE OF iNSPECTION REOUESTED <br />I SIDE SEWER <br />I I CURB/GUTTER/SIDFW�I �. <br />f I S?REET <br />�; —. _ <br />INSPECTION REOUESTED ON�l1, ,�� r«, _ <br />„�.� <br />�APPROVAL f 1 PARTIAL APPROVAL <br />C]VIOLATION f_� CORRECTION REOUIRED <br />[] Correchons Gsted below MUST �E MADE heforF work con be ni�i����v«�d <br />f I Please contact mspe��.tor and arranye fo� appomtment. <br />❑ Was not able to peAorm inspectian. <br />❑ CALL 259-B810 FOR REINSPECTION -- 24 hour nolice requirr•�I <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND PO.`+1 r U�)N <br />THE PREMIS[S PRIOR TO OCCUPANCY. <br />InS�iFr. <br />n,��� ��f� <br />