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ENGINEERING / PUBLlC SERVICES <br /> INSPECTION REQUEST <br /> Ad�ress ��� C/'C_�� ,.� /�r <br /> Contractor �L��t� <br /> Owner <br /> Date �0'01l -p-� Permit No: _�50(�0 -C� <br /> TYPE OF INSPECTION REQUESTED <br /> �DE SEWER �>q�� <br /> /- <br /> ❑ CURB/GUTI'i:R/SIDEWALK <br /> ❑ STREET <br /> ❑ <br /> INSPECTIONREQUESTEDON fe�Z3-�S � //;3p <br /> ORTE TIME <br /> PPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIREU <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not ahle to per}orm inspection. <br /> ❑ CALL J25-257•8810 FOR REINSPECTION-24 hour notice required. <br /> Inspector � Date b-23�- <br /> c.� <br />