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11�N1 <br /> �NGINEERING / PUBLfC SERVICES <br /> INSPECTION REQUEST <br /> � A�,���,s — 3�3a C�(�,� -- <br /> Contractor_ _ <br /> Owner .�y_Q/�f� C1rRtC <br /> Date _J-�)_U.� Permit No: �_QSO(t '�J <br /> �+��. <br /> TYPE OF INSPECTION REOUESTED <br /> -{�LSIDESEWER CQ/J-p��— <br /> r <br /> ❑ CUR8IGUTTER/SIDFWALK <br /> ❑ STHEET <br /> � -- - —�gk�lcl.r�tr�-c�ow�,� - <br /> INSPECIION AE�UESTEG ON____ __ __ _ �, <br /> narc - - - -�i�d-- <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correcti� .s lisled below MUST BE MADE 6elore work can be approved. <br /> ❑ Please contact inspector and arrange for appoin�ment. <br /> ❑ Was not able to perlorm inspectio�. <br /> ❑ ChLL 42Ci�257-8810 FOR REINSPECTION-24 hour notite requirecl. <br /> — /�5��[,etE ��.CE�jcNs T-s✓yl/'-�77yL /�iJ`_ <br /> _ �'-r✓`.�`'�cc 7z� --- <br /> — /�LL /✓E'tL' f'/�i/�ia�E� �/i9��i.1/�; �riT <br /> ---Y: <br /> � <br /> Inspector—�' ---_�. � Da�e �5 /�� G� <br />