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ENGINEERiNG / PUBLIC SERVICES <br />INSPECTION REQUEST �of3 <br />Address _ ___�s��_L� �L��—1 �y-I,���--- <br />i <br />Contractor __ ___ -- -- <br />Owner ___�.� <br />Dale _._3�=U�-- Permit No: _� �`_��'�� <br />TYPE OF INSPECTION REOUESTED <br />❑ SIDE SEWER l U 65c6 -e20 r, Lea�� <br />❑ CURBiGU'rfER SIDEVJALK '} U r � fG( I h <br />❑ SfREE� <br />� l <br />.'�__ LW:I.. . . . __ ... _. .__ ----� --� <br />INSPECTION F°QUESTED ON _ ___ _ . _ ___ 'n __ _- _ -- <br />p.vf �iV.�i�. <br />❑ AP— p p q� ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORP,cCT10N REQUIRED <br />❑ Corrections h;ted below MUoT BE MAD[ belore work can be approved. <br />'_7 Please contact inspector and arrange �or appointment. <br />❑ Wu not able �o perform inspection. <br />❑ CALL �25-257-8t710 FOR REINSPECTION - 2�3 hour notice required. <br />ST_� —/_CT�"OY��1'�Yl�-- �'�/F�s"�/�� <br />Inspector <br />