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'" �� E�f�rPd��E-��I�C� / PU�LIC S�RVIC�� <br /> �.' INSPECTION REQUES4 `�` 3 � <br /> 4 <br /> i-�;' <br /> Address /op�o / ��'�' I�j��, <br /> Contractor C�,��: � <br /> Owner i.�-t'�,�z��riy' <br /> ��r� j- ;� - l'�� Permit No. <br /> --�-�TYPE OF INSPECTION REOUESTED <br /> SIDE SEWER � <br /> � CUR i /SIDEWALI< <br /> � STREET <br /> J <br /> I!dSPECTION REQUESTED ON @ <br /> ___ DATE TIt.tE <br /> APPROVA� _1PARTIALAPPROVAL <br /> � VIOLATION � CORRECTION REQUESTED <br /> i ;- nrr.lions listed below MUST BE MADE betore work can be approvc ; <br /> ' nse contact inspector and arrange lor appo�Mment. <br /> � � . �- n:�t ;31dq to perfonn inspection. <br /> � '.:�) 257-Eu16 FOR REINSPE�-.. . .. . . . . <br /> � S l'it��� <br /> ��-����� <br /> i� , ,��,;. �Grr� G ii✓�i�%��� . <br /> � <br /> ? r '. <br /> �;.: <br /> � <br />