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�� <br />ENGIPIEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />nddress <br />Coniractor <br />�d_"�-._I�S�'"_C._f SE — <br />owner _ _ _(1lJ�c�1�_ll�Cc '/_----- <br />D,ite �(7-�-�(D -- Permit No: __(��✓�(OD_L�JI) <br />TYPE OF INSPE(:TION REOUESTED uQ(oUd�� <br />U SIDE SEWER <br />[� CURE3 GUTfER SIDEWALK <br />❑ STREE7 <br />� Slwl,,ti ,� (�U��d ia,s kQS �ua/P� <br />RJ5PFCTION REOUESTED ON ut <br />,,.n ��1�� <br />CJ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ,�'CORRECTION REOUIRED <br />I) Conecuons hsled below MUST BE IdADE belore work can be approved <br />f 1 Ple,iso contecl inspectoi and anange lur appouvmenl. <br />f I Was noi ,�ble to perlorm inspeciron <br />I7 CALL 475�.''S7�Bd10 FOR h'[INSPECTION - 24 hour nol�ce raquved. <br />������;�_ ��,,�c.Q����r �y�- -- <br />,'� �y-_ N�_ . � • G, –%--�_�«�uc�--- <br />� ti�i, f-r�s �( u eoL ------ — <br />C_� , �%P _ l-,�ruv�c_��.�k1�r_c.ol�--�re _. <br />�.Uvr �1� c� — Lk_c�_ — <br />Inspector _ --- --_—Date Z�1 '� 'i7� <br />