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/_ '�.. <br />�� <br />� <br />ENGINEERING / �'UBLIC SERVIf:ES <br />IN�PECTION REQUEST <br />Address `� �/7 _3/-�'�A✓�. S•� <br />Coniractor �� /� J�� 1����5 <br />Owner <br />Date S_- �� ' �� __ Permit No: <br />TY�OF INSPECTION REOUESTED <br />SIGE SEWER <br />❑ CURB/GUTTEH SIDEWALK <br />❑ STREET <br />❑ <br />INSPECTION NE�UESTED <br />oarE <br />c� <br />.iue <br />❑ APPROVAL J ❑ PARTIAL APPRUVAL <br />❑ VIOLATION ❑ COP.RECTION REQUIR[� <br />❑ Corrections listed below MUST BE M4DE uefore wo�k can be approved. <br />❑ Please contact inspector and arrange '.or �;�nointment. <br />❑ V�'as not able to perform ir,spection. <br />❑ C/1LL d25-257-8810 FOR REINSPECTION — 24 hour no�ice reawred. <br />�iL��s��'�✓S7��i/�.r/ S �9C7�2 � <br />Inspector <br />