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�- � r9VGIfdEERIPIG / PUBLIC S�Ri/ICES <br /> '� ""-' � INSPEGTION REQUEST <br /> Daie: �l- I � I.J Permit: �G(,J V�-"��Z-S <br /> Project/Owner: <br /> Contractor. �` <br /> Sile Address: 3 Z-a� �(.'���'�� " ' " � -� <br /> TYPE OF WSPECTIOPI RE�UEST[D <br /> Se.ver Systems Sireet/Road Baso <br /> Storm Drain Systems Roof!Footing D�,i�����-, <br /> �'Jater Systems Public Works F�;,�.i <br /> Gurb/Gutter/Sidewalk S�� ( .S <br /> other. _ h1. __ _.— <br /> ,1PPROVAL P�RTIAL APPROVAL <br /> VIOLATION CORRECTION REQUESTED <br /> Corrections listed bel,w MUST BE MADE before work can be approved. <br /> Please contacl inspeclor and arrange for appointment. <br /> �;.4�s not able to pertorm inspection. <br /> �,��� �,72�� FOR REINSPECTION — 24 hour notice requucd_ <br /> ;� r� v4 cva� Vlo'� I � s`� [�Ec� _ <br /> o=,, <br /> i�,,;�,,;:;�,� �_ ..,_. . <br />