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'`'� ER9GIWE�RING / �lD�i.9C S�RVICES <br /> �;�`�� INSPECYIOfd REQtJEST �`l/� <br /> ��'��E/ �r7 <br /> �..� <br /> Address /nf� � �3--�f'�K �-G_ <br /> Contractor ����G� <br /> Owner /=ni���� <br /> D<<te / - i�� - �� Permit No. <br /> TYPE OF INSP�CTION REQUESTED <br /> �—,_�` <br /> �i�SIDE SEWER � <br /> � CURB/ UTTER/SIDEWALK <br /> � STREET <br /> J <br /> INSPECTION REQUESTED ON C� <br /> GAt[ 71ME <br /> <'S.�APPROVAL� � PARTIALAPPROVAL <br /> _i VIOLATION � CORRECTION REQUESTED <br /> orrections lisled below MUST BE MADE before work can be approved. <br /> ; ;'lease contact inspector and arrange (or appoiniment. <br /> _i �^l�� not able to perfoim inspection. <br /> ; �42r,J 257•BP90 FOR RGIMSPEC716N - :'�1 I�,���u� �,ioin.c �Cq�.iired. <br /> � %i C�i; �C - <br /> ll�C/`� /—�/�/��/'iy-t� �:� /� ��—�� �� <br /> c <br />