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ENGINEERING / PUBLIC S�RVICES <br /> INSPEGTION REQUEST <br /> Address !�/f�LL/yi�7— 57O�7t-- <br /> Contractor l'. S � � <br /> Uwner _ <br /> Date -Z/- �G Time <br /> TYPE JF INSPECTION RE�UESTED <br /> ❑ SIDE SEWER <br /> ❑ CURBIGUTTER/SIDEWALK <br /> ❑ STREET <br /> �a. .�i�/�c �� P�u � wd��x.S <br /> INSPECTION REQUESTED ON S� ` - "�YC %S <br /> DFT[ TIIAE <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST 8E�dFDE before wurk can be approved. <br /> � Please contact inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 425-25'/-8870 FOF REINSPECTION -24 hour notice required. <br /> s/7L= /�`�T�l��7�9✓j._S s/�J'�l.St�+'��i7� <br /> S�/T�.T�C'T- i U oL��/.vi.vLc ��� <br /> � i'G , .��� /-.i9i✓l>SG'.sl.�iic/l �-vA <br /> SY.�f-�ssY /�fC.dif/�'�fTig <br /> 'n���r��i��'7/1/`�� �'�� 7,�' �/11S?. I <br /> ♦ <br /> Inspec�or / �� �te� G` �� OtS ' <br /> / � <br />