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4 PUBLIC WORKS <br />:7T INSPECTION REQUEST <br />Adc.'ress <br />Contfaator <br />Owner ` rgrrcg -- <br />Date 11L/T /!?) Time <br />TYPE OF INSPECTION REQUESTED <br />n SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />n F <br />INSPECTION REQUESTED ON EPEE C' — <br />9 APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION r, CORRECTION REQUIRED <br />❑ Corrections listed below MUST B'_ 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 REINSPECT'ON — 24 hour notice required. <br />A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br />THE PREMISES PRIOR TO OCCUPANCY <br />Inspector <br />Date f <br />