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El'�GINEERfNG ! PUF3LiC SERVICES <br />INSPECTION REQIJEST <br />Address _ _���__/f /��L�/s� <br />Contractor _ _ <br />Owner .� CC ____ <br />Date _� J?-n(o _ PermitNo: _�,C.�S�'�'Ci <br />TYPE OF INSPE�TION REQUESTED <br />�SIDE SEWER Cqp � <br />❑ CURBIGUTTER :'" ! .'.��'�! " <br />❑ STREET <br />� <br />NSPECTION REQUL_s <br />C��,KS Aa��1 ��,v4�� <br />[3'11PPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REnUIF�FO <br />❑ Corrections listed below MUST BE tdADE betore work can be appra: e: <br />❑ Please contact inspeclor and arrange lor appointmenl. <br />❑ Was not able to perlorm inspection. <br />O CALL 425-257-BB10 FOR REINSPECTION — 24 hour notice required. <br />l, �K�� ��,,o� r -i-� �,o� /a 1,.,,_�;��-,: �._i <br />.� <br />� �� ���� D�le S�:'.1G. <br />I'��[�'n.., _ L.:. . � � - i. _ . . - . � — — --- <br />