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ENGINEERING / PUBLIC SERVICES <br />.% _; INSPECTION REQUEST <br />� � <br />Date: 2�S—'� Permit:�D�l2�(`.t�% <br />Proj�ct / Owner: J�f �,l4s <br />Con!ractor: �%� <br />„ Address: �sZS f7N'y���� �OL. <br />TYP[ OF INSPECTION REOUESTED <br />?ewcr Systems Street / �7oad 6ase <br />Storm Drain Systems �oo r Fou6ng Drains <br />Wa1er Systems Public Works Final <br />Curb / Gu�tcr / Sidewalk <br />Olhec <br />APPROV�L <br />VIOLATION <br />APPROVAL <br />TION REOUESTED <br />Corrections lisled below MUST- BE MADE belore work can be approved. <br />Please contact inspector and arrenge lor appointment. <br />Was not able to perlorm inspection. <br />CALL (a25) FOR REINSPECTION — 24 hour nolice required. <br />Inspeclor <br />[PS� �c 'J <br />ak -r� �,e�c�i �.�. F`�� t��,atn�s <br />D�'`J S��c7j� s�t�c5 o/t �,D�77By✓ <br />Date 2'�� �� <br />Dn1A64B.INC. <br />