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i <br /> PUBLIC WORI�S <br /> �'��'«''� INSPECTION REQUEST <br />� � ndd���ss J�?��___,L�?.�i��-- <br /> �Contractor _ � <br /> Owner _ — I <br /> I <br /> Date��1� _�_ t��„e ------ — — <br /> TYPE OF INSPECTION REOUESTED <br /> �IDF S[WL�R <br /> ; ; CURB!G: :1 EF/SID[WALK 'I <br /> I ! STREET i <br /> INSPECTIOh REOUESTED ON�_2 � �' �" ���� I <br /> �— — ---- — I <br /> �APPROVAL ❑ PARTIAL PPPROVAL � <br /> ❑ VIOLATION Ci CURRECTION RECIUIRED i <br /> 1 C�irections li;ted below MUST �E MACC bdore work can be approved. , <br /> PIeaS�� conlac� inspeclor and arr�nyfl lo� eppiun�ment �, <br /> ,� Was not ak'�to perform '�speclinn. � <br /> ❑CALL 25y-BB'0 FOR Rt NSP[CTION — 24 hour notice required. I <br /> A CERTIFICATE OF OCCUPF�NCY SFil�LL BE ISSIiED AND POSTFD ON <br /> TIiE PREMISES PRIOR TO OCCUPILNCY II <br /> _—��— — — _ II <br /> InSPr.;.�nr ��1�_i..it�5�t��?'��� - f4dc � _}'I 7C— � <br /> r <br /> I <br /> � <br />