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PUBLIC WORKS <br /> INSPECTION REQUEST <br /> Address ��ST ���/ <br /> Contractor �`-� <br /> Owner <br /> � � � <br /> Date �Z C� (� Time ( - �✓" <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> �-- <br /> ���� � � <br /> INSPECTION REQUESTED ON @ <br /> DATE TIME <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ 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 /> T� ��� P�io�To occu�A�cv. <br /> / ?!l>r/ O�'�r✓�t/ �1� <br /> Z �' V- D tT� ����,s ��' <br /> S � w � D �i � <br /> �� Gov� /�L� SL��s /i/d7'� /.�"�i✓4 �� <br /> �- G�� s?Y�vr/ Or� rt�s� . <br /> `� ri �7Y�.��Z� e.� ��J�/D�-tj <br /> ��� T�GlI�L SC�� t'—�' ,�]"' i� le�� <br /> V <br /> � l�vt� Y�'� <br /> �2 1 N �� /���r.r/ SiT� <br /> Inspector Date � � � <br />