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i <br /> � <br /> PUBLIC WORKS <br /> ''`"`'�`'" INSPECTION FiEQUEST <br /> � Ad����ss g��__1,���_�L�� <br /> co��«�fo� I <br /> Owner � <br /> Date ��-�- rC <br /> Time _ i <br /> � <br /> TYPE OF INSPECTION F7EQUESTED I <br /> SiDE SEWER <br /> f ! CURB/GU7TER/SIDEWALK <br /> ❑ STREET • I <br /> INSPECTION REOUESTED ON____ �� I <br /> ,,.:-� .,� i <br /> l3�APPROVAL f ] PARTIAL APPROVAL � <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ' � Co�rechons listnd bolow MUSi BE MADE before work can be approved <br /> " : Please contacl mspector and nrrange�oi appoinlrnent <br /> ❑ Was not 2ble to perlorm inspection. � <br /> ❑ CALL 259•8810 fOR REINSPECTION — 24 hour natice required. � <br /> A CERTIFICATE OF OCCUPANCY SHALL 8E ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> Inspector Dete� � <br /> i <br /> lj --!i ` ' i <br /> I <br />