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ENGINEERING / PUBLIC SERVICES <br /> I�NSPECTION REQUEST <br /> add���5_ h�.,uC� ['2�-�f� f%�y <br /> Contractor �7��-- �7v" SJ <br /> owner -�J/�B �' <br /> '7 � <br /> Date _l Z—' � —vL Time _� Z ° ZCU <br /> 7YPE OF INSPECTION REDUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/SIDE'JJALK <br /> ❑ STREET• �—, <br /> �' -�7'�(�� 5/�'7IC ��sSu/4.` /�.�51 <br /> INSPECTION REOUESTED ON �n <br /> -- -u„r — -- ,,,� <br /> �PPROVAL ❑ PART!AL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below 61UST GE h1AD[ before v:ak can 5e approved. <br /> ❑ Please contact inspector and arrange lor appointment. <br /> ❑ Was not able to pertorm inspection. <br /> ❑ CALL d25-257•8810 FOR REINSPECTION –2d hour�ouce requ�red. <br /> -- �, l�.e�'��r-/yl�l/�n�T e -- <br /> _ .����i�� /F ST ZZS .L'S< <br /> -- <br /> - ,.�,�2� �z- I�- v? <br /> In,;�ector. . . __ _� __ _ ..__ . _ .._— --D�te--------_. <br />