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ENGINEERING / PUBLI� SERISICES <br />IWSPECTION REQUEST <br />,add��ss _ _l�_(c � s _ ����_L�r_,.� � <br />comractor <br />Owner __/�Li f <br />D,�te -�>_�i-('�-- Permit No: _ ��f15G5 -�J�� <br />TYFE OF INSPECTION REOUESTED (���� �` � ,� � <br />❑ SIDE SEWER <br />❑ CURBiGUTTERiSIDEWALK <br />❑ STREET <br />f �i � <br />�= 1=-,��1�J_ _lxs_—�.6Lr.t� _ r �� :�Lc,u <br />J �J <br />INSPECTION REOUcSTED ON , <br />;,� _ " ,, <br />❑ APPROVAL ❑ PARTIALAPPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />�' Corrections I�sted below MUST B[ MADE belore wurk can be approved <br />!� Piease conlact inspector and arrange lor appointmenl. <br />i! 114�s not able to perbrm mspection. <br />•.�..:ALL 425-257-8810 FOR REINSPFCTION - 2J how noece re ,:,���:�f <br />�'�.y✓� �E rE -- S�o t wri �j<_ yt:� 7� -�o�u 2_ <br />--�— ' <br />�--/�/-,- ----1 <br />In����.ci.r � ` - - . �-L��-.— Date �! ��'� O� <br />. ----- �--- . <br />