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ENGINEERING / PUBLIC SERVICES <br /> � INSPECTION REQUEST <br /> Address �«'Ej �✓, �'/!s'ii�C� /�P <br /> -eorma�tor �'/,�i✓9T�'�/ <br /> =6wner fj/�S ,�i'�1�� <br /> Ur�te % � -oB--oB PermitNo. /����'v$O�UOto <br /> TYPE OF INSPE(:�IOfJ R[OU[ST[D <br /> � t<IUF SEWER <br /> � LUH��GUTTER/SIDEWALK <br /> � SiREET <br /> � t/N�-�C-�Za'/i`/� SE�/� /�/9�',ST�ie/r1 <br /> RJSPECTION R[OUE_Si LD ON ���� <br /> un,i i��n <br /> � APPHOVAL PARTIAL APPROVAL <br /> � VIOIATION � C, EC I �CN R - UESTED <br /> �.,�nortiuns lis�ed below MUST BE MAD[ l�rL�i�� v.��i6 r.nn be .�ppio:,i.,� <br /> � i�.rr.�• �����nt�rl in!q�Prtrn dnrl rut,inyr �u� :'�p�,�n ���nr��n� <br /> ...� � . �•,I� I� �����ib:nin inr.�ii,� I ���i <br /> ;;Al.t. (J25) 257-DB10 FOR REINSPECTIQN .. , � � � � .�..i������: <br /> UN1�'-f'�i�/s> s£-�'J�C� 'v��� S/�7 <br /> i�/��1'l L�� S/3T/-S%�/�c�7s''r.-l� ` �3J"�Q" <br /> :�oU CGF�-✓ w�TFiZ V.1G-✓� Gi.vS <br /> � T��✓6 O/.�� ��ar'"7 ✓A*i VC= Cy,..i � <br /> S O�/1'y ��*/j� 3 <br /> q�Vc'nG.F_ L'i✓9i�•/ i�J <br /> l'!�`/%�ZC� SJ.�t/�77.f21� !'/�/L �,/N�nJ <br /> .i/iy t7rie'i� G/�F /5 C�oi�1�GZ�'� <br /> l'!/�� G�i✓y�''i 9^/ � �08-�g <br />