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PUBLIC WORKS <br /> INSPECTION REQUEST ' <br /> Address � � �� -�l�i `0r� I` � I <br /> Contractor — <br /> Owner _ � <br /> Date � D �' 7ime —. <br /> TYPE OF INSPECTION REOUESTEO <br /> f l SIDE SEWER 4 l� ' � b <br /> C CURB/GUTTEF/SIDEWALK � <br /> !7 STREET i <br /> C] (Q�t/ - �' � � <br /> INSPECTION REOUESTED O / pAJ 2@�_31�_ <br /> APPROVAL O PARTIAL APPRnVAL <br /> ❑ IOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE belore work can be approved. <br /> ❑ Please contact inspector and arrange lor appointmenl. <br /> ❑Was not eble to peAorm inspeclion. <br /> ❑CALL 259•BB10 FOR REINSPECTION —24 hour notice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> . — v �c � <br />� � � w � o <br />; �. .� <br /> , <br /> � <br /> , <br /> � Inspeclor �( � pe�e // = J��� <br />