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PUBLIC WORa(S <br />INSPECTIONi REG�UEST <br />nd��o55 — .�_J��; - la�S/ J / 1;�- <br />contractor -------- <br />(,�vJllef � u i�Q ✓ C r �^ — <br />t' . C Tim[s <br />D a t e --��1—J� -- --- <br />TYPE OF INSPECTION REQUESTED <br />SID[ SEWER JI�J° Z I'�li� �M � (� �/i,� rJn� <br />.. ! 1 CURB/GUTTER/SID[WALI< n I� I ,l�t� '�n� �/ �'3���-�/ <br />,� 5 �- <br />i1STREET <br />�� ��� -- <br />�.., <br />INSPECTION REOUESTED ON „�� ,,,,., <br />❑ APPROVAL [-1 PARTIAL APPROVAL <br />f ] VIOLATIGN ❑ CORRECTION REQUIRED <br />.�.��. <br />F' �rasc1ci rl1ictenlsPectorrand arr� nq A1oE �Po i�i�n ci I can bn ;i���,�„w�� <br />'. ] Vl�s nct abin to purform inspection. . <br />i; GALL 259� 1�:70 F�R RFINSPECTION — 24 hour notice reqwied. <br />A CERTIFIGAII� OF� OCCUPANCY SFIA�L BE ISSUED AND POST[� UfJ <br />THE PREMISE.� PR�OR TO OCCUPANCY. <br />-- _�� _�,,=,(-.� ----- <br />- ai c.�-a��/���t� ;--- <br />In� �� �iior _--- --- ----- �----- - - <br />DcUe <br />