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PUBLIC WORKS <br />�'`'''«'" INSPECTION F'iEQUEST <br />� Address �� � C7 7 5�/4 S7� r� - — <br />Contractor / r.-% ��-��i4.�-�7``+��7(". <br />Owner �� � � �� ^ �', � <br />�, <br />Date � ? � � _ Timc <br />TYPE OF INSPECTION REOUESTED <br />��IDE SEWER <br />CURB/GUTTER/SIDEWA!.K <br />;TREET <br />INSPECTION REOUESTED ON C� <br />�.�� ,��a� <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />C] Corrections listed below MUST BE MADE belore work can be approved. <br />[] Please contact inspector and arrange for appointmenl. <br />❑ Was not able to perform inspection. <br />� CALL 259�8810 FOR REINSPECTION — 24 hou� notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTEO ON <br />THE PREMISES PRIOR TO OCCUPANCY. <br />. �/ � <br />Inspector � .�. � �/ . Dale l _L <br />