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M��� <br /> ENGIt�IEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address_._�_3�_(—�pf__ ��------- <br /> Contracbr __ ___ <br /> Owner ___--��r���_ <br /> Date __5-1)--{J(o--- Permit No: �QSD$�'� <br /> TYPE OF INSPECTION REOUES�ED <br /> �3:SIDESEWER C�ir _ VI�-� <br /> ❑ CURB�GUTTER'SIDEWAIK <br /> ❑ STREET I <br /> ❑ _ -_YIGiC.iC_ /S �t-(�l'\_ __ _ _ - ---- <br /> INSPECTION FlEQUESTED ON _ Q _________ <br /> pAlf iiME <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> 0 VIOLATION ❑ CORRECTION REOUIRED <br /> C] Correclions listed below MUST BE MADE beloie work can be approved. <br /> ❑ Please conlacl inspector and arrange lor appointmenl. <br /> ❑ Was nol able to perlorm inspec�ion. <br /> ❑ CALL 425457-0810 FOR REINSPECTION—24 hour notice requi�ed. <br /> _ . �';�.u.,f� , .l'E1/,'C.1.rS �Ktt��c7Dv� �I7�S <br /> � <br /> - —�'��y�,<�'�`T�D — <br /> Inspeclor___ _=`�' - �C�� Dete ���� ��� _ <br />