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E�l�ENE��II�G / PtfBLlC SERVI�ES <br />INSP�CTION REQU�ST <br />Address ��Z �'���%��'� <br />Contractor h'� � %�''��`'�'l � �'� � <br />Owner Hl� 5"ffOT �'��'� <br />D�te � - zC� —Of' <br />Permit No. <br />TYPE OF INSPECI iON REOU[:' I <br />SIUE 3E�^d� <br />� GUR�i�Gi I I I I�.N,Sil�E�V�U_r� <br />� STRLE 1 <br />J <br />"�lSPECTIUIJ I;�QUcSI �D ON � ����� <br />CAi[ <br />G APPROVAL J PARTIALAPPROVAL <br />J VIOLATION J CORRECTION REQUESTED <br />�� Coneciien� i�,t��d below I,iUST BE MADE before work can be approve�l <br />� Ple�se conlact inspecto; �nd arrang� tor appcintment. <br />� Was rot able lo perform :nspection. <br />_i GALL ;4�5) 257•8810 FbA REINSPECTION --4 lioui i'�tir, <<;;• <br />S/I�= �x!—'/.�/�2� ����'1'� TO <br />SF-rv/l'�= � S�Sr-�'i"tY2 � <br />l'L//'�G/.�c/I�i'7/1�/ '�/ 6- zo '�'�' <br />��: <br />