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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: //i ��� Pennd P� <br />Project / Owner: /U9�0 I, LD <br />Contractor. A�D 4 '7 1 - — <br />Sile Address: _ Gt%�iayeE -- <br />TYPE OF INSPECTION REQUESTED <br />Sewer Systems <br />Street / Road Base <br />Storm Drain Systems <br />Roof / Fr.oting Drains <br />Water Systems <br />Public "irks Final <br />Curb / Gutter / Sidewalk <br />Other: <br />-- <br />X APPROVAL <br />PARTIAL APPROVAL <br />VIOLATION <br />CORRECTION REQUESTED <br />Corrections listed below MUST BE MADE before work can be approved. <br />Please contact inspector and arrange for appointment. <br />Was not able to perform inspection. <br />CALL (426) FOR REINSPECTION — 24 hour notice required. <br />�( 5 %���%�•r7-TSJl�� aF — <br />/3LQc <br />Inspector <br />EPSIR (e)ac) <br />Date 7�q— /3 <br />DAIABM. INC. <br />