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PRG-CONS'PRUCTION INSPECTION <br />Date � _%1 REFER TO <br />� -, <br />Address � `� �" �, , �� . , l t Sewer <br />Water <br />Permit No. � ' Street <br />Storm <br />Records <br />Water Service - <br />Gas Service <br />Culvert = .-. � ��1 ;� � • �� , <br />Side Sewer <br />PUD Pole <br />Telephone Pole <br />Guy Wire <br />D/W Locati�n <br />Sidewalk <br />Underground 1Viring <br />Tele c� Cablevision <br />Driveway Grade <br />Water Runoff <br />Other <br />Comments <br />r� <br />m <br />9 <br />; ' ,:�--- � <br />/ _ <br />^ <br />[nspection <br />