1618 BROADWAY 2016-01-01 MF Import

1�,�'� ENGINEERING / PUBLIC SERVICES INSPECTION REQUEST Address_��(C.��-�1Q�+ct�.ss.e�-- J Contractor Owner � -- Date 3 "3G-�� Permit No: pGtlQSysa9 � TYPE OF INSPECTION REQUESTED ❑ SIDE SEWER l�- O5�� 'Dl �o ❑ CURB/GUTTER/SIDEWALK ❑ STREET ��'�131��d�:�� INSPECTION REQUESTED ON_ � nnrE r��.iE �PPROVAL ❑ PARTIAL APPROVAL ❑ VIOLATION ❑ CORRECTION REQUIRED ❑ Corrections listed below MUST BE MADE before work can be approved. ❑ Please contact inspector and arrange ior appointmeni. ❑ Was not able to perlorm inspection. ❑ CALL 425•257-8810 FOR REINSPECTION—24 hour notice required. Inspeclor__�v��_: -�-- -- Date__ ��!/+U� --- - -