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OOLPUBLIC WORKS <br />INSPECTION REQUEST <br />Address —/M2 R!f t4 5-/ S-k, <br />Contractor e S / <br />Owner w ::�a . CIA o <br />Jate-_[jz11QL_ Time _ <br />TYPE OF INSPECTION REOUESTED <br />SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />11 <br />INSPECTION REQUESTED ON <br />UAi till! <br />I-I-HOVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION O CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />0 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 />