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OOFPUBLIC WORKS <br />M77- INSPECTION REQUEST <br />Address -JS►D _� _?3_cJ St_JL- <br />Contractor <br />Owner Go I I t/ 3 n,4 <br />Date — b a00C2 Time <br />TYPE OF INSPECTION REQUESTED <br />SIDE SEWER <br />F1 CURB/GUTTER/SIDEWALK <br />[]STREET <br />n <br />1j <br />INSPECTION REQUESTED ON <br />DAY F <br />PPROVAL O PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />I 1 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 />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 />