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' ENGINEERlNG / PUBLiG SERVICES <br />INSPEGTIO�! REDUEST <br />Address ��'Sl�� (3�-v.:��wn�� <br />Contraclor <br />Owner C(G��� <br />Date `� - 2 7-i i Permit No. r���l U�'�t)0.� <br />TYPE OFINSPECTION REOUESTED <br />� SI�E SEWER <br />J l URB/GUTTER/SIDEWALK <br />U STREET / � <br />''�d' � � �ta � Sf� 7�/ 5 ' <br />INSPECTION REQUES'fED ON <br />( i�R i�S e;; � v,tir�) �P to,/,� <br />� <br />DATE <br />APPROVAL J PARTIALAPPROVAL <br />� I LATION J CORRECTIUN REQUESTED <br />�(:� n� �.I on; lu�ed bc�low MUST BE MAa: belorc �: ,. I ,i- '.�. <br />� P!oase contact msper,t�r and arrange for appolnim����= <br />J W�s not able to �ierlo�m inspedion_ <br />� CALL �425) 257•6810 FOR REINSPECTION - <br />�'i� //`1/l %G2"�.�� ���'l�"�'%n� <br />, L'�!�' ��%/�r�/��� zJ � �/ <br />, <br />lCiJln[.uly �.I.:w(� / t -/G <br />