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�,,1� <br /> ENGINEERING / P�l„16l_IC SERVICES <br /> INSPECTION REQ.U�ST <br /> Address �7 l � C���/1_�-�--- - <br /> Contractor �' <br /> Owner �C /,ra(L,��i�eJ --. <br /> Date __1 ��S Permil No: �,,(r���1 <br /> TYPE OF INSPECTION REt]UESTED <br /> ❑ SIDE SEWER � <br /> ❑ CURB/GUTIEH �IDE�'JALY. <br /> ❑ STREET <br /> / � "�/�� <br /> C�:__�U�� ��21�`�1�,/ur� �a-'i�t--�� ��n� <br /> INSP[CTION RE�UESTED ON______ _ —_ °Y' _ — —_ <br /> JP16 :IUC <br /> ❑ APPHOVAL ❑ PARTIALAPPROVAL <br /> ❑ VIOlATION ❑ CORRECTION R;QUIRED <br /> ❑ Corrections hsted below MUST BE MADE belore wo�k can be appreved. <br /> ❑ Please contact inspeUor and arrange for appo�ntmen;. <br /> ❑ Was not ablo to perform inspection. <br /> ❑CALL 425•257•BB10 FOR REINSPEC110N-24 hour notice required. <br /> � 1 �� , r _t <br /> � � <br /> InsPector_ ..- -- - _---- --. ._----Date_ - - __ - - - <br />