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� ENGIN�ERING / PllBLIC ��RVICES <br /> = INSPECTION REQUEST <br /> Address ����/ vyG��'��� 'a� <br /> Contractor �-�'��t` <br /> Owner�i� �oi✓l�/� _ _ - <br /> Date ��Ol-� Permit No. � !-�/u��07_-- , <br /> TYP� OF INSPECTION REQUESTED <br /> � SIDE SEWER <br /> �G�RB/GUTTER7SIDEWALK <br /> � STREET <br /> J <br /> IN6PEC1'ION REQUE3TED ON Q <br /> DtiTE TIME <br /> APPRO� O PARTIALAPPROV.�L � <br /> � � CORRECTIUN REQUESTED `_ � <br /> � Coi�ections listed helov.� MUST BE MADE befcre work can be approved. <br /> _i Please contact inspec;or and arrange for appointmenl. i <br /> � �Vas not able lo perform in,pection. � <br /> � CRI.L �425) 257•B8�0 POR REIWSPECTION — ?_4 hour notice reGuired. � <br /> 3 <br /> �� GJGS ��d�f-c.. G� �L�ii✓ � <br /> �/���. �'r Gc//f�/7� �I�/�G L.//G L i <br /> � P�'i�Yl�� � 41�9"./t'� i"�`.�Y/TS i <br /> T '/ �/�� 7�)y���� I <br /> On/�f / G ���l�� ��i1i/G��/.JicL-ri�� 1 <br /> I <br /> �I <br /> I <br /> � <br /> InsE�ectcr L'G/�—� �//�l/�'��1'�`� Uate g�L��—� � F <br /> � <br /> a <br /> . , ,,. , � UAtACPi�. , � <br />