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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address _ __EjJ � L`/�C�P11Yy�LE�� -- <br />/ <br />Contractor _ __________ ____ <br />Owner L � nc�l1 �� <br />%------- <br />Date ----f/�� �G,7 Permit No: �WC �'-�['fS G�y <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER ( U G> cG -GL z�r l/po�� <br />❑ CURB/GUTTER�SIDEWALK {N'�vi-I � n) <br />O STREET <br />, _ 7 � f � <br />Ln .'��-/la_��_ __1���_ G�l I.0 _ _ <br />iNSPECTION REQUESTFD ON �n <br />nair �iu� <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATIQN ❑ CORR[CTION REQUIRED <br />❑ Correctians lisied below MUST BE MADE belore work can be appro�ed. <br />❑ Please con�acl inspeclor and arranye for appoiniment. <br />❑ Was not able to perlonn inspeciion. <br />❑ CALL 425-257-8810 �OA REINSPE.TION - 23 hour nauce requ�red, <br />- i"G��s�= �:�lG --- <br />�� S- 3.s'9 - 79�¢ <br />Insnecloi L�UF� l-+�/�O�iS�/�� ^_te�ZB —OS .— <br />