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i <br /> PUBLIC WORKS <br /> ' l�ISPECTION REQUEST <br /> Address ���� �i1—���s S h'ti �20 <br /> Contractor � � <br /> Owner _a e '�—. , <br /> / <br /> Date �� � 6 � 7imt: _—_ '� <br /> TYPE OF INSPECTION REOUESTED � <br /> t:i SIDE SEWER � v �- �� <br /> Ci CURB/GUTTER/SIDEWALK <br /> C] STREET / <br /> r_; �ldlrr—/ 5`",�_ <br /> INSPECTION REOUESTED ON � �E @ ��ME <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> VIOLATION CJ CORRECTION REQUIRED ; <br /> f;Carections listed below MUST BE MADE belore work r.an be approved <br /> fl Please r,ontact inspector and arrange for appoiNment. <br /> ❑ Was not able to perform inspection. <br /> ❑CALL 259•8810 fOR REINSPECTION— 24 hour nolice required. <br /> A CERTIFICATE OF OCCUPANCY SHALL BE ISSUED AND FOSTED ON <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> � I 7 �{ �� � ` � <br /> �,) a 7•P Y �5 P �6-, �� <br /> Inspector Date%/,G�'F2'�— <br /> � <br />