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ENGINEERING / PUBLIC SE�VICES <br />INSPECTION REQUEST <br />E <br />Address ro 3� FLEr�I INCz _ <br />G'ontrec!or �nNovAr/ [�t:+�IES <br />Owner _ <br />Date S /`!-C.� Time <br />TYPE OF INSPECTIGN REQUESTED <br />❑ SIDE SEWER <br />❑ CI.�RB�GUTiER/SIDEWALK <br />❑ STREET <br />❑ <br />INSPECTION REOU[STED ON C� <br />--- [lAiE -- -_� ill.'E <br />�( APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORREGTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please coNact inspector and arrange lor appointment. <br />❑ bVas not abfe to per(orm inspection. <br />❑ CALL d25-257-8810 FOR REINSPECTION — 2d hour notice required. <br />Inspector_�_� � �'�? _ ��c <br />