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<1 <br /> PUBLIC WORKS <br /> INSPECTION REQUEST <br /> Address _ Z�QL-$g yH ftp J <br /> Contractor <br /> 4, Owner __ wood <br /> Date Z- - Time <br /> w <br /> TYPE OF INSPECTION REQUESTED <br /> ! ❑ SIDE SEWER nj� <br /> El CURB/GUTTER/SIDEWALK A, <br /> ❑ STRETTA / <br /> INSPECTION REQUESTED ON LL <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑Corrections listed below MUST BE MADE before work can be approved, <br /> 11 Please contact inspector and arrange for appointment. <br /> z O Was not able to perform inspection. <br /> i . <br /> ❑CALL 259.8810 FOR REINSPECTION —24 hour notice required. <br /> r A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> 1C <br /> i <br /> 4, <br /> Y <br /> �. Inspector Date <br /> �I <br /> I. <br /> i <br />