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; ENGINEERING I PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address �G/a �v� �Pc' ��� <br />Contractor <br />Owner �a� 7o�/q � �� <br />� /� C�(% ,� < <br />Date a`�' � I Permit No. / /C�C 'Z' � <br />TYP[ OFINSP[CTION REQUESTED <br />� SIDE SEWEH <br />� CURB�GUTT`_R/SIDEWALK <br />_i STR ET� '7 / ,� Q j� 1 <br />� <br />��IYLx-� J Iz��{%; �Du���IH� Gliti��+Wl f�N�2�/ <br />RdSPECTION REOUESTED ON li" <br />I)Ail 711Af <br />� PARTIALAPPROVAL <br />� CORHECTION REQUESTED <br />� ^ndinnr�, listud h�low MUST BE MADE h�loic work can bc appioved. <br />,���, ,isr con���r,� �nspec�or flnd annnq� loi ap��ointmr_n� <br />.i �.7�i; nct abit� to perimm insp��clion <br />� CALL (425) 257•8010 FOR REINSPECTION .'�1 h�nr rn,ti���� �rquin d <br />S/7� �/i/�%��,l��i�F/ t%jS^ /f/�/�� <br />/�'�/L�/-,�G �1/C',�''/�� �'�'/vl'�'it'�S <br />�/Y"T'/S�//'l /��` � �. <br />l'l/f'�%iiS��'if%i,/��' ,��Z-C� -i/ <br />