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ENGINEEiiING / PUBLIC SERVICES <br />iNSPECTION RE�UEST <br />Date /l—Z/ ��T PermitC���" DO � <br />Pro�ec� / Owner L�I/'�- ^��/� <br />Conlractor O/.�//►/�� <br />S�te Address: l/�S 9���l s• [�• �'"t <br />TYPE OF INSPFCfION REOUESTED <br />�� Sewer Syslems Street � Road 8ase <br />; Stnrm Dram Systems Ron ±_�_ is <br />I Watcr Systems uUl�c Works Firal <br />� Curb � Gult('I / SidPwalk <br />� Oth[�r <br />` VIOLATION <br />� ' PARTIAI. 1PPROVAL <br />I CORRECTION FEOUESiI-D <br />Cur�e� hons hstrd hrinw MUST Flf MADE before work ca�� hr ,ipproved <br />Please cuntacl in;per.lor and ananqe tor appomtment <br />Was not able lo pFrlunn insper.t�nn <br />CALI 1425) FOR REINSPECTION 24 hour noucc reyu�r�d <br />�r7'F /�1�,�'l-F�Y��TlS S'�/7�'F�!'°��v <br />i�g��.��.�',C.L��%�A�J�-. '-��..-..'__.e'�i�=2./—!� <br />FnS�t�ie,MJ�. . � ...'..��LA�Ayqp �NC <br />_ <br />