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ENGII�IEERING / PUBLIC SERVICES <br />INSPECTION REGIUEST <br />'-r''" �(�i,�.�'���L' i; <br />Addres; . _ _ <br />CUI11f�ClOf <br />Q`�VI1Bf �� I_�i�. !�+L_���r �' <br />Dat�� —� �� Tlme ��� ���'� -- <br />T'fPE OF INSPECTION REOUESTED <br />L] SIDE SEW[R <br />L] CURB/GUTTER!SIDEWALK <br />❑ STNEET <br />❑ --- -- <br />INSP[CTION f7E0UESTFD ON `�' -- --- <br />P.�If lil.q. <br />I7 APPROVAL ❑ PARTIALAPPROVAL <br />❑ VIOLATION ❑ CORRECTION RE�UIRED <br />`.-7 Correcuons hsted beln�v MUST OE I.-ADG belore wor6 can be approved. <br />:; Flease contaci inspeclor and ananye for appoiniment. <br />❑ Was not a61e to perlonn inspeclion. <br />❑ CALL J25-257-8�10 FOR REINSPECTION - 24 hour notice requued. <br />'�' � -cS <br />Ins{.ectOr �� • • . •����C--- � __Dalo_.�__�� <br />;._; ..- _.. <br />_____— _.___ <br />