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Ei�lGINE�RINC / PUBLIC SERVI�ES <br /> ��' II�SPEC7'ION REf'�UEST <br /> ,yJ C I ZC� �� <br /> Date: CC-S -/3 PermiL U I�� ��� <br /> Project/Owner: . <br /> Contraclor. L L' h yl2�" <br /> Site Address: � C��f� - � a � ��-� s E <br /> TYPE OF INSPECTIOfJ REQUESTED <br /> Sewer Systems Street/Road Base <br /> Srorm Drain Systems Roof/Footing Drain . <br /> Water Systems Public Works Final <br /> Curb I Gutter/Sid �valk ,( `r � - � <br /> Other: �� Nli`l S I� iM� . <br /> APPROVAL PARTIAL APPROVAL <br /> VIOLATION CORRECTION RE�UESiE:� <br /> Gorrections listed below MUST BE MADE before work can be apprc,�e-.i <br /> Please contact inspector and arrange (or appoinlment. <br /> �^!as not able to per(orm inspeciion. <br /> C�1LL i,a2;) FOR REINSPECTION — 24 hour notice requireci. <br /> � <br /> ,�, � , <br /> ��-i� /i`��o✓�s�;6�--.s' s�'����?� <br /> _ _ _ <br /> ��,,,������ r—��/ __-��k-�--�-s-;%3 <br /> . 5',R(n/097 Dl.I4j3ll<.RlC. <br />