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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />, _. , <br />Address �/-' �' I,C ��C't'C 7 L.• , _ r� � ; ,, ,.l <br />Gontrac�or r <br />Owner E1� i" 1 �Il.� (1C`��1c ", <br />Date �- '�_( ; _ Time �FI •`� ---- <br />TYPE OF INSPECTION REQUESTED <br />Cl SIDE SEWER <br />❑ CURB GUTTER SIDE4'JALK <br />❑ STREE-T <br />�1 1 �,:,t� <br />INSPECTION REOUESTED ON -. <br />n i� <br />}�APPROVAL ❑ PARTIALAPPROVAL <br />❑ `JIOLATION ❑ CORRECTION REQUIRED <br />❑ Conections listed below MUST 8E MADE beloie work can be approred. <br />❑ Please contdct inspeclor and arrangc for.�ppoinimenl. <br />�-i 11'�u no� nble �o perlorm inspection_ <br />�, CALL 325-257-Bf310 FOR FEINSPFCTION - 24 hour nchce requned. <br />_ - �7 — ,/ <br />Inspeetor t. . ' � t�. �� •� _' _ Dale �`' - ! -� � <br />. _ . .� - - - ---- ------ — ---- — <br />l! ( <br />