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�����.�������:�c� r .-�:.y�iL�i� ���iV��:��+ <br />INSPECTION REQUEST <br />Address %/r3U �''�"��� <br />Contractor �G%�llZ <br />Owner '' <br />Date � � �� �� Permit Na _ _ ____ <br />TYPE OF INSPECTION REQUESTED <br />CI SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />�� STREET <br />J�` � !�/ _„ l`i�f� � <br />INSPECTION REQUESTED ON <br />DATE <br />� <br />TIME <br />� APPROVA- L � �� PARTIAL APPROVAL <br />�J ATION �� CORRECTION REQUESTED <br />U Corrections listed below MUST BE MADE before work can be approved. <br />i� Please contact inspector and arrange for appointment. <br />i� Was not able to perform inspection. <br />._� ��a�.� �42.rij ��?-8810 FOi% REIt�9��ECT1�l3 — 2.4 f�cur n�ti���, r<c,���i���_c, <br />S//—'`- �"�`�1��(�G�`��ti� �',��5�'C`��'`--?/C'� <br />� <br />�;/,�3v�'�"G�" �'C� N �'��jG��y <br />��/'�'�� S�'E?��-�_ <br />�J GE%C'� S��%��72y 5�����'�- . <br />���' 1�,�/.v Ci�-�'�iC �=� � <br />�'�'����'/�ti�"S / C,.r�c��-�tij �=�� <br />���� ��r�����--��-�.,%' � A <br />Cc �-�-�� t��z � G�-��� .5�-��` <br />� c C'A ,",`� C�'�✓,L �� _ _ �'�Gf�`r�`�"�%� %'' <br />/�/S'ri�'�G'�. �=i �'i�C— 1� G"c-''c �-= �� <br />�ii�:p��cinr �L�i� <br />�,�/���/��i'�/' <br />C'C'' — <br />� —�� <br />�— �''� —�%C=' <br />, <br />UAIAIiAI:, INC. <br />