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PUBLIC WORKS <br />INSPECTION REQUEST <br />Address 122&JL .,77 cw, <br />Contractor _ <br />Owner <br />Time <br />TYPE OF INSPECTION REQUESTED <br />i 1 SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />11 STREET <br />El <br />INSPECTION REQUESTED ON__ 9 <br />"ME <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION 'REQUIRED <br />1) Corrections listed below M JST BE MADE before work cai. op. approved. <br />C] Please contact inspector and arrang, for appointment. <br />❑ Was not able to perform inspection. <br />O 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 />Inspector _ _ Date <br />