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0#:77- PUBLIC WORKS <br />INSPECTION REQUEST <br />Address <br />Contractor <br />Owner — <br />D3te f 0 T Time <br />TYPE OF INSPECTION REOUESTFn L�rL� <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK A0 P, f 9 <br />r� g17� IRE <br />T 1 KA <br />INSPECTION REQUESTED ON <br />❑R'r r4rF <br />APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />[' ConIctions listed below MUST BE MADE before work can be approved. <br />I Please rnnlact insueclor 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 />