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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address �� 1,� � �('C� !'t r� <br />�'� • �--- <br />Contractor Qt �t-- �'_�� �_Qk�________—___ <br />Owner � �, I.��1�,A� <br />Date j� -� (_7 �- �� Permit No: p�f✓f f��{-�� <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />�' �-��-�.�=��� � � � � � ��-�-j _ _ <br />INSPECTION REQUESTED ON ___ @ __ <br />DATE TIME <br />�PPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was not able to perform inspection. <br />❑ CALL 425-257-8810 FOR REINSPECTION — 24 hour notice required. <br />L <br />Inspector <br />_Date /.� `'� �l1__ -/�----- <br />