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r�vr � <br /> , ENGItd�ERING / PUBLIC SERVICES <br /> � INSPIECTION REQUEST <br /> Address � i I �� Ml+�f f� <br /> Contractor <br /> Owner �cAc{�j,� e <br /> Date // — SS -G'7 Permit No. /-wG�%Q$-C�/ <br /> TYPE OF INSPECTION REQU[STED <br /> J SIDE SEWER <br /> J CURB/GUTTER/SIDEWALK <br /> � STREET <br /> � ���,I r�l,�, ? �u�d�.�5 a�fd,� � ��v�y�l�� <br /> INSPECTION REQUESTED ON �. <br /> oare nrae <br /> APPROVAL � PARTIAL APPROVAL <br /> � VIOLATION J CORRECTION REQUESTED <br /> � Conections listed below MUST BE MADE before vrork can be approv. �l <br /> � Please contaclinspeclor and arranye tor appoinlment. <br /> .i 4'Jas not nble lo prr(��rm ins��cr.tiun <br /> - ' �.�.. �i� __ • , J1:_ FOn t1:.11.";P7:CTIC7N . , h�• . . . . �� ��ni� _. <br /> _/�/ � <br /> Intip-.�,:I�r � n �.� �� / �/ <br />