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PUBLIC WORKS <br />evr'It'tt INSPECT, ON REQUEST <br />eAddress _?�f( t IL <br />Contractor z T7 <br />Owner/� L�-y" ,«•• <br />Date Time d _L)O <br />� � TYPE OF INSPECTION REQUESTED <br />NSIDESEWER <br />//❑��C...•URB/GUTTER/SIDEWALK <br />❑ STREET <br />INSPECTION REQUESTED O _ @ )/ `O d <br />pc [ TIML <br />VAPPROVAL ❑ PARTIAL APPROVAL <br />LTVIOLATION ❑ 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 />101 <br />Inspector �/� �� u�_Date� <br />