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I C� <br />1 �� <br />� �� <br />PUBLIC WORKS <br />INSPECTION REQUEST <br />�._ : .; <br />n�id�,,ti5 �� `I_�: _ , . _ <br />Contracror � � � • '- <br />Owner __ - <br />Da�e �' � 1�c. _ Time -- --- <br />� �`' <br />TYPE OFINSP[GTION HGOUESTFD <br />I' SIDE 3EW[R <br />❑ CURR'�3UTTERlSIDEWni.r�. <br />'l STRL"ET <br />���i �i--..c' / —_._. .. _ . . _ . <br />INSPECTION REOUESTED ON.___.__ _ -____ �', _ _ ._— - <br />;�l APPROVAL I 1 PARTIAI_ APPROVAL <br />i I VIOLATION I i CORRECTION REOUIR[f� <br />Cnrtpc�ion� 16�Cd lu,lnw tdUST BE MADF h�,in�a vrork ��nn L,..�.i n• .. <br />F'Iras�• t'onlnc� �nSPer�oi tand xrranye Im aPp�nnim��n� <br />,. Was not ahle lo peAorm insper,tion <br />��. ! CALL 259-f�E110 FOR REINSPEC710N — 24 huur notice reqii�i�"I <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND f'� �'�. � i I������ <br />THE PREMISES PRIOR TO OCCUPANCY, <br />� -: <br />I.,,�,��Inr — �� <��� I��. , ' ' <br />