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� ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> � —��/�---�-�YLI��c,�'i.c�— <br /> Address_ / / <br /> Contrector�_Lc',S�c^� <br /> Owner ��<<��,Q� <br /> Date _��,� 5 EjS Permit No: �,�,r��/ <br /> ����� <br /> TYPE OF INSPEC110N REQUESTED <br /> ❑ SIDE SEN'ER <br /> ❑ CUA[�iftUTTER/SIDEWALK <br /> ❑ STREET <br /> l30. r�.Cd�A�tE�C�—���+�� <br /> INSPECTION REQI;ESTED ON � <br /> C.1Tc TIME <br /> $(APPROVAL p PARTIALAPPROVAL <br /> b VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correclion, listed below MUST BE MADE belore wnrk can be approved. <br /> � Please contact inspector and arrange lor appointmenl. <br /> ❑ Was nol able to perform inspection. <br /> ❑ CALL 425-257•8810 FOR RE INSPECTIGN —24 hour nolice required. <br /> — / <br /> Inspector Date 6!z$ ��� <br /> I i <br />