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Date <br />�PafiiN[ERING / PU[�LIC SERi/lC�s <br />INSPECFIOPO REQUES�i' <br />Address <br />Contractor <br />Owner <br />�— � •—D �( <br />�'�20 /1�INkr �iz-c ��i'l� <br />D1c-i7" ���772✓�'77��Y <br />�Ti1,,� vY1.31��1Sc�•r�% <br />7 <br />Permit No. ���D%�G--U Z3 <br />TYPE OF INSPECTION REQUESTED <br />� SIDE SEWER <br />� CURE3/GUTTER/SIDEWALK <br />� STREET <br />�( %)n�,�/Ns�vcrT 1��i3rN7 "�" .!n/r'�G77"u�-iic„/ %r�,N <br />I�dSPECTION NEQUESTED ON �, <br />UATF. <br />,ir.,e <br />�APPROVAL J PARTIALAPPROVAL <br />� \/IOLATION � CORRECTION REQUESTFD <br />_� ,. rrec�ions listed belu•.� MUST BE MADE before work can be appro: r: <br />_� r'lease contacl inspector and arrange for appointment. <br />� 1Nas not able lo perform inspection. <br />_�i.S'_ (=�2G� 257-BII10 FOR REIWSPECTION 2�1 hour r.��tl;���. i,.c;�,�i��. �. <br />�i9775��c? iz'�'u� <br />��'t�'c /�Cl�/ C L <br />% � 7 <br />�; �';1.� <br />� <br />�'� <br />�� <br />r� <br />