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PUBLIC WORKS <br />"'�«'�, INSPECTION REQUEST <br />�J Address � X ` / � � � f f J � _ <br />. <br />Contractor ��• X� � <br />wner <br />Date G % Time <br />� TYPE OF INSPECTION REOU[STED <br />y'SIDE SEWER <br />i.1CURB/GUITER!SIDEWALK <br />❑ STREET <br />7 <br />INSPECTION R[OUESTED ON ��_ o.� _ 3• �' J <br />��e, �,,, <br />a. PPROVAL ❑ PARTIAL APPRGVAL <br />U VIOLATION ❑ CORRECTION REQUIRED <br />�' CotreC�ionS listed below MUST BE MADE belore work can be n��prov��d <br />C Please contact inspector and 2rrange ler appointment. <br />❑ Was not able to perform inspection. <br />i7 CALL 259�8810 FOR REINSPECTION — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />� v—�._ <br />Inspactor <br />Dete �� �lSf � _____ <br />