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E�IGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address __ � � �__ <br />Contractor ___ ___ __ <br />Owner �b1��:,�� �y� �.IC.�GR,I 'e� <br />Date � (,� --_/ �_/ (�,_ Permit No: �['�j`� <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET / <br />❑ ��F-c�,S �v' � �' L%�_--_ 'SCGI��a � � �rSl��j <br />INSPECTION REQUESTED <br />❑ APPROVAL <br />❑ VIOLATION <br />� <br />DATE <br />T IME <br />❑ PARTIAL APPROVAL <br />❑ 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 />1�.�i ' It�� �! � � 1! <br />I nspect��� j_--� --- -- —Date .9 � �� ��� — <br />