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,��=, _, <br />,�-:� <br />ENGINiEERING / PUBlIC SERYICES <br />IN�PECTION REQUEST <br />--- �D-ate: Z �Z.3 ��( Permit / GJI00�-Ot�s <br />Project/Owner. �JG�,% j�%��,(c��--}�-C�. <br />Contraclor: <br />Site Address: L/ Z� —�'�I L <br />TYP[ OF INSPECTION REOUESI�ED <br />Sewer Systams Street / Road Base <br />Storm Drain Syslems Roof / Footing Drains <br />Water Systems �public Works F-inal <br />Curb / Gutter / Sidev✓all< <br />O�her: <br />X APPROVAL <br />VIOLATION <br />PARTIAL APPROVAL <br />CORRECTION REQUESTED <br />Correr�ions lisled beluw MUST BE fv1ADE be(ore work can Ge apprwed. <br />Please conlact inspecror and arrange for appointmenl. <br />Was no� abte to perform inspection. <br />CALL (q25) FOR REINSPECTION — 24 hour notice required. <br />Sct..�`�'�"�' 7Z C(�,J//llC., <br />S7Z�a✓( 17.2�g-t� _ ��tJ Cu L T�� S�t.; <br />�:- r�J�l.� 7a S�� f3,�-z� <br />� - ------ --- _ <br />,,�y�q � - -----`- <br />InspeCtor �����t��/� _—_ � � � � � � <br />- Date <br />I PSf1 ioi09) — - ----- - <br />OAfABAR. INC. <br />