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ENGINEEIRING / PUBLIC SERVICES <br /> �;� INSPECTION REQUEST <br /> ,. , <br /> Date: Z"��—/ 3 Pcrmit: `u � Z�Z d'�`4 <br /> Project/O'.vner. ��T�/���C�/N " � /��S <br /> Contrector: �'� �� <br /> Site Address: 9e��� �S, r�� l� <br /> iYP[ OF INSPECTION REOUESTED <br /> Sewer Systems Slreel!Road 8ase <br /> orm rain Sys�ems Roof/Foofng Drains <br /> Water Systcros Public Works Final <br /> Curb I Gutler/Sidewalk <br /> Olhcr. <br /> ' APPROVAL PARTIAL APPRO\b1L <br /> , CORRECTION RE�UEST[D <br /> Currections !isted bclow MUST(3[ A1ADE beforr work cen be approved. <br /> Please contact inspector and anange for apPoinlment. <br /> Was not able to pertorm inspection. <br /> CALL(426) FOR HEINSPECTION — 24 hour nol�ce iequued. <br /> �J� S�i�c %t/.ST���� <br /> ��sr�'c��a-z� <br /> �7�� r ��/ � <br /> In�:pcc�or �lJ�/ 1�..,/�✓���/��� ..�'��� � <br /> _. :..)n . � DAIABf.R.'!�l <br />