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ENGINEERING / PUBLIC SERb'lC�S <br /> INSP�CTIQ�N REOUES'P <br /> Address_ /�;/(1 Lo�te /�/rc a______ <br /> Contractor <br /> Owner S ���� a 7" <br /> Date �` - �j -C>G Pe�mif No: P�I�US[�-G�� <br /> TYPC OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB;IiUTTER/SIDEWALK <br /> ❑ STREET <br /> ��_F�:��I sl�f/KS ' (�1�1��G_„� ��,�,� �s��� <br /> , <br /> INSPECTION REQUESTED ON _ � <br /> o>r[ r,r.�E <br /> fJAPPROVAL ❑ PARTIALAPPROVAL <br /> G VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correclions listed below MUST 8E MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointmenl. <br />" CJ Was net able lo perform inspection. <br /> ❑ CALL 42E-257-8870 FOR RE WSPECTION–24 hour notice required. <br /> �—� /f <br /> --lf/� <vc.x�.' o.L f1Si''FfAL7 ��cv/� <br /> ���J S !�0 7 �f£-�> 1.ri.�i�F (:,c.�� <br /> Inspeclor___�.'/G_c;j� _ Dale _ <br />