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Pue�ic woRKs <br /> INSPECTION REQUEST <br /> Address _ � <br /> Contractor � -' <br /> Owner <br /> '�_ �,,. + <br /> Date � Time <br /> TYPE OF INSPECTION REQUESTED <br /> !7SIDESEWER �D � 3 � <br /> i � CURB/GUTTER/SIDEWALK <br /> �STREE�� <br /> � `--�'-"'_ <br /> INSPECTION REQUESTED O �� i �a q' r a <br /> DF C 111At <br /> APPROVAL O PARTIAL APPROVAL <br /> IOLP�TION 0 CORRECTION REQUIRED <br /> II� ❑ Correclions listed below MUST BE MF�DE before work cen be approved. <br /> f ❑ Please contacl inspector and arrange for appointmenl. <br /> L7 Wes nol able to perfarm inspeclion. <br /> ❑ C/'LL 259•8810 FOR REINSPECT:ON—24 hour notice requlred. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> fH[ PREMISES PRIOR TO OCCUPANCY. <br /> N � <br /> ��. -�✓7� � _� f <br /> L I <br /> �` !2� � I <br /> C <br /> d� � <br /> — •. .• — 7t� w. � e� <br /> i Date l <br /> �nspe¢tor . , %�� <br />