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, i <br /> PUBLIC WORKS I <br /> �I�ISpECTION REQUEST <br /> Address �D v � • � �P � � , � <br /> Contractor '^ � <br /> //Owner � <br /> Date�1 Y 'i Time <br /> TYPE OF INSPECTION REQ�STE3� <br /> n SIDE SEWER � ' <br /> ❑CURB/GUTTER/SIDEWAIK <br /> C7 STREET , � — <br /> J* n <br /> n _1a2.�a-� <br /> 2) @ i �— <br /> INSPECTION REQUESTED O p�� - riue <br /> PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ OLATION ❑ CORRECTION REQUIRED <br /> ❑Corraclions Iisted beiow MUST BE MADE before�vork cen be approved. <br /> ❑ Please conlacl inspeclor and arrange for appointment. <br /> ❑Was not eble to pertorm fnspectio�. <br /> ❑CALL 259•8810 FOR REINSPECTION—24 hour nolice requlred. <br /> THE PREMISES PRIOR TO OCCUPANCYE ISSUED AND POSTED ON <br /> � , t d F v __-- <br /> D � 4 <br /> � � <br /> � <br /> v � .� . <br /> � Date j � I <br /> Inspector I <br />