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T3 ��r "c 'ED - 3 � <br /> PUBLIC WORKS <br /> INSPECTIaN REQUEST <br /> Address �� 1� 3 W ( � s r+.a I�Y <br /> Contractor /��4�� /`�ecl,k. �� �.,� <br /> Owner : k <br /> Date i 2 S 7ime <br /> TYPE OF INSPECTION REQUESTED <br /> �DESEWER <br /> ❑ CURB/GUTfER/SIDEWALK I <br /> ❑ STREET <br /> n <br /> INSPECTION REQUESTED O � 2i Y _ @ / ; D U <br /> o.�e r�Mi <br /> APPHOVAL ❑ PARTIAL APPROVAL ' <br /> VIOLP.TION ❑ CORRECTION REQUIRF_p I <br /> G Corrections listed below MU3T BE MADE before wcrk can be approved. � <br /> ❑ Please contact inspector and arrange lor appointment. ' <br /> ❑Was not able to pertorm inspection. <br /> ❑CALL 259•8810 FOR REINSPECTION—2q hour nolice required. <br /> A CERTIFICHTE OF OCCUPANCY SHALL BE ISSUED AND POSTCD ON I <br /> THE PREMISES PRIOR TO OCCUPANCY. <br /> — ,�� ��s� <br /> r+o laa �t, _ / D ' h ..,ef �j,,.JSLA�.s <br /> i � <br />� _ <br /> Inspector Datef� � <br />