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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQIlEST <br /> Address�O_l,3� /Y�/.�/�"�/S�.c <br /> � <br /> Contracror J��_�-�r�'� l�O�lST <br /> Owner ���Z� <br /> Date �—Z z -� Time <br /> TYPE OF INSPECTION REDUESTED <br /> ❑ SIDE SEWER ��US�c�-0,3�] <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> �--/-=-ri•�/�G-- -- - ---- -- <br /> INSPECTION REQUESTED ON @ <br /> patE iDfE <br /> �APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corredions listed belo�v MUST 8E 61ADE betore work can be approved. <br /> ❑ Piease contact inspector and arrange lor appoinlment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL a25457-8010 FOR REINSPECTION -24 hour notice required. <br /> S/7C //`1��0��`���5/�� S�J`T/�'�"i��Y <br /> �nspecror G�L/Fl�=L1r�f3� _.Data res� L'2-� <br />