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rr AncTING SEP 2 G 2n05 <br /> FtdG�NEERING / PUBLII: SERVICES <br /> INSPECTION REQUEST <br /> Address_�� -5 � u l�`�%�_ . .. — <br /> Contractor —___ <br /> O�vner ----1�-t,L�T — <br /> D,�(� --- --- Permit No: _/�(Q� D(o-C-7� <br /> � TYPE OF INSPECTION REQU[S1ED <br /> ❑ SIDE SEWER <br /> ❑ CURBIGUTTER/SIDEWALK <br /> L STREET �\ <br /> ° --��/_er�JZ !<t�-G�.�,2.�_! - <br /> INSPECTION REOUESTED ON_ � <br /> - -- -- <br /> o.,,�t �—n„r-- <br /> E1 APPROVNL ❑ PARTIAL APPROVAL <br /> � VIOLATION ❑ CORRECTION REQUIRED <br /> O Gorreclions listed belctv MUST DE MADE be(ore work can t,e approved. � <br /> ❑ Please coNacl inspector and arrange tor appointment. <br /> ❑ Was nol able to perform inspection. <br /> ❑ CALL�25-257•0870 FOR REINSPECTION-24 hour notice required. <br /> '-;f.T'C �C�l�Cti �i� �.1;(i 7C� 'i 6��.y�(_<�I��� . . .1� C-� <br /> - i , <br /> � <br /> /�• + � ` —_— Q - L'S- <br /> Inspector.�: _l_ ___ _--- -,.— - — - Date � �.3- <br />