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• � - - ENGINEERING / PUBLIC S�RVICES <br /> ' _� INSPECTION REQUEST <br /> Address //6l� �l�ca��'-�7I-� �✓?� <br /> Contractor �'��'Y.IL �ct�t,� / <br /> Owner ��/�ll� �iY�/�3'.S <br /> Date � —Z�—�G�G Permil No. � <br /> TYPE OF INSPECTION REQUESTED <br /> '� SIDE SEWER <br /> ; <br /> � CURB/GUTTER/SIDEWALK <br /> � STREET <br /> i� F�i�/�4G f�k/- <br /> INSPECTION REQUESTED ON �s <br /> DATE TIME <br /> � APPROVAL �TIALAPPROVAL <br /> � VIOLATION � CORRECTION REOUESTE� <br /> � Corrections listed be!ocr MUST BE MADE before work can be appruved. I <br /> � Please conlact inspector and .urange for appointment. <br /> � Was not abie to perform inspection. <br /> � CaLL [425) 1.57-6810 FOR REINSPECTION — 24 hour r,etice requireci. <br /> c��� ,�-�i�-,� cft� � �� s�;✓, <br /> �f"�/� S�'/li�f Oi2�¢i.�/ GLE�/ �vTS � <br /> �S �v��c-s�'�i� i <br /> Loc,.l�1L 7-r� c�7_.��E �.d ��c�� /f� � <br /> " n.��2r�✓ j�dX �� d li�lL SAY�/. �. G', <br /> S. !/�, G°�12/✓crT ��_ �C.�ZS.✓L`� � � <br /> � ' � <br /> ���..0`� �� <br /> / <br /> i�„����.���� L'U/�- �li✓/J"�!'� � - 20 _vG <br /> 4z s— 339 - 7404 . � <br /> C: � <br />