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PUBLIC WORKS <br /> INSPECTION REQUEST <br /> Address &/3 7 ykS_ �60 <br /> Contractor 61 )0-1 t_ CCL1APLr &+ _ <br /> 9 Owne7r <br /> Date > / S 'eC/ Time <br /> TYPE OF INSPECTION REQUESTED Lvf 7 <br /> ❑ SIDE SEWER <br /> m CURB/GUTTER/SIDEWALK Pw Cha 05(y <br /> ❑ STRE T /� <br /> Qom. K <br /> INSPECTION REQUESTED ON________ _ <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑Was not able to perform Inspection. <br /> ❑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 /> I <br /> Inspector _ Date _ <br />