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PUBLIC WORKS <br /> INSPECTION REQUEST <br /> Address �� v 3 � l e 3 .`7, ��,� <br /> Contractor �'� ''n .� <br /> wner � .` �� i <br /> Date y2 rime <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER /f- � � 3 6 <br /> 1 <br /> �l CURB/GUTTER/SIDEWALK <br /> C7 STREET `/ <br /> �._ �� v<� �L/ w(6� <br /> INSPECTION REQUESTED O�i 92 @ 1p%o v <br /> O If LME <br /> APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ IOLATION ❑ CORRECTION REQUIRCD <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> C] Please contact inspector and arrange for appoinfinent. <br /> ❑ Was not able to perform inspection. <br />, ❑ CALL 259•8810 FOR FiEINSPECTION— 24 hour notice requlred. <br /> A CERTIFICATE OF OCCUPANCY SHALL 6E ISSUED AND POSTED ON <br /> THE PREMISES PRIOR TOOCCUPANCY. <br /> Z� �lJ t r <br /> i � <br /> ..� .- 3 j <br /> J � C <br /> �� � U <br /> �— <br /> Inspector L Date� 93"' <br /> I <br />