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ENGINEERING / PUBLIC SERVICES <br /> t INSPECTION REQUEST <br /> r Address %L. C%�'> t✓�. r'/'_5/v'C' %��� <br /> Contractor 7%�YGGs�'S � ��i`c''`'"'''< <br /> Owner �� ic i �C'�' � <br /> i c: Permit No. `' '/� Olr�Q '0�} I <br /> Date , /- �� E° <br /> TYPG OF INSP[CTIO�J REQUEST[D <br /> � �IDE SEN.'ER <br /> � CURD�GUTTER/SIDEWALK <br /> � STREET <br /> � S7'(�/7. � �/Sj'�.---, . <br /> IN�PECTION REQUES7ED ON „� <br /> onii __ <br /> � APPROVA� J PARTIAL APPROVAL -- <br /> ATION J CORRECTION AEQUESTE D <br /> � �'„�ir�.tu.ns hsled beloW MUST BE MADE L,e�nre eJork can be nF'��r��`.'�'I <br /> i �:�le�isc �:nnt_u�.� inspeclur and ai�nny�� loi ap{�oiNrncn� <br /> iA'Vas nol nbli> to perform mspec.hon_ <br /> � CALL (425) 257.0010 FOR REINSPECTION � ',�,�.�� „^�'""„� ' �� �� <br /> ; ����,��,yy��,.�s r s��%r s ys ���� <br /> �� ,�-�,. ,;, , � <br /> _ ,�«_ ,_ �> ) ;�% .�� /�= i '7— �' � <br />