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_' EPlGIMEIELRI6V�G / PUgLIC SERVlCE�; <br />� � INSRE�TION REQUEST <br />Address Z %3 �� — �"g� ST -S �v <br />Contractor �"�/JUI'�� 1/11'�1� <br />Owner �Olf/%��-� �I/�>7JY1�7-S <br />Date �O — 24—U � Permit No.���0�� <br />TYPE OF INSPECTION REQUESTED <br />�SIDE SEWER <br />� CURB/GUTTER/SIDEWALK <br />� STREET <br />J <br />INSPECTION FEQUESTED ON C� <br />UATL TIME <br />�APPRvVAL � FARTIALAPFROVAL <br />� VIOLATION � CORRECTION REQUESTED <br />_' �uridcUons lis�ed below MUST BE MADE b��ore �^:��r�� r,an :��� n��;,r�i��o�l. <br />�"!ease conlact inspector and arrange (or appointm��n'. <br />�'�.'�4�s not ahle to perform inspection. <br />� CALL (426� :?57•fl610 FOR REIIdSPECTlOtQ -- 2�3 h:�,u� r� '��_-� r:�q,u�ed- <br />t„i �/�'�— <br />o.,�� /d—z8—v� <br />