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i <br /> � <br /> I <br /> i <br /> PUBLIC WORKS <br /> `'`"`'"'" INSPECTION REQUEST <br /> en�i���55 �f1L.-_„o�'�'�� . s� _ <br /> Contractor _ P�4 S,i>� <br /> Owner I'J� yx..�/ � <br /> /S� �8 I <br /> D�te (� - I <br /> Tim�� <br /> — � <br /> TYPE OF INSPECTION REOUESTED � <br /> SID[ SEWER <br /> CUHB/GUTTER/SIDEWALK j <br /> STREENT � � <br /> � . 7"�lii-t t-�'� <br /> INSPECTION REOUESTED ON ,,,• <br /> ���� �„ - <br /> PPROVAL Cl PARTIAL APPROVAL <br /> , VIOLATION �'CORRECTION REQUIRED <br /> DCGonections Gstetl below MUST OE MADF hefore wo�k c;in be appr��rd. � <br /> Plr,asc rnn�aci inSPeclor and a�rnngo lor�p�ioinimen�. <br /> �. Was npt�ihle �o perfonn insperh�m � <br /> : ' CALL 2CiD-N�11 f"OR REINSPFCTIpN— ?4 houi ito�ir.c roquir�d ' <br /> A CERTIFICATF OF OCCUPF�NCY SHALL E�E ISSUED AND POSTED ON <br /> TNE PREMISCS PRIOR TO OCCUPANCY. ' <br /> ___1.1�57&t�_�,ti/_1�--�D��{��'(2- __ � <br /> _ � <br /> I <br /> 1,� .�_S�-O�ZF ( �A-d�_�� _ � <br /> �- - <br /> �,. �,,, X�-��� rr�E � _�� ,,- <br /> � � �- . � <br />