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� <br />�, <br />ENGINEERING I Pl1BLIC SERVICES <br />INSPECTION REQUEST <br />Address_ __�D3St-��� S� ___ ___ <br />Contracinr ____ _ _ <br />Owner ___�g;�_Q�.� <br />Date _�-a(�_ Permit No: _�i1G�/G'O�l ) <br />TYPE OF INSPECTION REOUESTED <br />❑ SIDE SEWER <br />❑ CURBiGUTTER'SIDEWALK <br />❑ STREET <br />� O� -���� n <br />INSPECTIONREOUCSTED'JN� �[2 <br />i:.n <br />L�f 3.3 <br />�oec <br />�'APPROVAL O PnRTIAI.. APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />f� Cor�ecuons lisled Ue+ow Mu ;T BE MADE belore woik can be approved. <br />[] Fiease con�act mspecior and arrange lor appoinlmenl. <br />❑ Was nol able lo pertorm inspecuon. <br />❑ CALL 125-251�8910 FOR REINSPECTION - 24 huur noUce required. <br />Date <br />