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� EN�INEERINa / PU6LIC sERVICEs <br /> INSPECTION REQUEST <br /> Date �Z�'��.Permit:__ l_Z[(J�(��—— <br /> Prcject/Owner._____—._ —_. --------. ___—._ ------- <br /> Coniractor._____ � ______-_— <br /> Site Address:�.rr1��.�---�/-q� �T— — <br /> TYF :OF INSPECTION FiEOUESTED <br /> ❑ Sewer Systems ❑ Street/Road Base <br /> ❑ Storm Diain Systems Rool/Foolin Drai s <br /> U Water Systems i ' Public Works Final <br /> ❑ Curb/Gutler/Sidewalk <br /> UOlher.-- -- - ---- ----- -------- — -- — <br /> APPROVAL [� PARTIAL APPROVAL <br /> L7lTl ❑ CORRECTION REOUESTED <br /> ❑ Correclions listed i�elow MUST BE MADE belore work can be approved. <br /> [] Please contact inspector and arrange lor appointment. <br /> �] Was nol able lo perform inspectinn. <br /> �� CALL(IYS)__ FON HEINSVECTION — 24 hour notice required. <br /> S✓T�._y��E�� _.S91����'� - <br /> _. . _ -- ---- -- _- - - - - <br /> — _ _CQ's��4'7' �-,� __�'1r�c - <br /> -6_-�� -- - <br /> - -- ,��---.�._ ._ <br /> - _ -- --- -- --- - ----- <br /> ,�� ------ -- <br /> _ --_ ----- - '" _ _ _ - - -- <br /> �- --- <br /> ��=�o�����i.�cd�"-.�/�_�zL�- <br /> CPS'•R(�/OG) � DAIA AR.INC. <br />