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Date <br />�EI��lhIEEF�I@�IG / Pl1EiLl� SEi�VICES <br />INSPECTIAN r�EQUEST <br />Address <br />Contractor <br />Owner <br />¢-�7-�y <br />� "l/.� �,�4�2�y 1�,,.; <br />Permit No. � t�D�/—�� � <br />TYPE OF I' SPECTION RFOUFSTED <br />� SIDE SEWER <br />� CURBIGUTTGR�SIDEWALI( <br />� STREET _� <br />� �N� .1-n���r��:r�1��✓ <br />��� ��>�crior: «Eou�srEo c�r� <br />�,.,, � <br />� APPROVAL � PARTIAL APPROVAL <br />� '!IOLATION � CORRECTION REQUESTED <br />�......—r,tion�� hsled belrnv MUST BE MADE belcre work cnn be epprn,�,� <br />_' �� �=e cuNnL� ir�cpec�nr,�nd Auanye lor aproin�men�. <br />,; not able �c perform mspr.ction. <br />.�, CALI_ {4:t�) 25) 0810 FOR REINSPECTIqN —?�1 hn;u nntice ro��, <br />C l l `��ji- L f"�'wl r�n/� �s� �-T <br />� �%/.� �N ���E S <br />