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I <br />� <br />r� <br />�tVGI�VEERItVG / PU�LIC SERVICES <br />INSPECTI��1 REQUEST <br />Address � ��s1�L�.�-�l— <br />Contractor <br />Owner —�h,�__�-�—�1-��� ,� r�I_�-- <br />t-•'� •�'�c- <br />�ate ��_-_�_�_-( � Permit No: ►�410 1 S[j `j — � [� <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />� -���Tc�S--�L' 1�c�L'L' ._ ��� � I`-'P r�r1.�V � � <br />INSPECTION REQUESTED ON «? <br />n;,; , �:: _ _ <br />�(,APPROVAL ❑ 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 abie to perform inspection. <br />❑ CALL 425-257-8810 FOR REINSPECTION - 24 hour notice required. <br />/�7V l��" C.� <br />��'' � � � ,,� �,�!-�� :��% � ���; <br />Inspector - - - ���. - r _ _ �_ . � _ - - -Date_ . <br />