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ENGINEERING / PUBLIC SERVICES � <br />INSPECTION REQiJEST <br />Address <br />Contractor <br />Owner <br />Date '3 �C� -r r <br />v�ilU T. r�4�*cd �% <br />Permit No. /�G1/fId'�� -U/b <br />TYPE OF INSPECTION REQUESTED <br />� SIDE SEWER <br />� CURB/GUP'ER/SIDEWALK <br />� STREET �' � <br />� S/�.I„S � �I�c��vt�� nave c�,���t�� <br />INSPECTION REQUESTED ON Ca? <br />DAi[ 11fdE <br />�APPROVAL �PARTIALAPPROVAL <br />� VIOLATION � CORRECTION REQUESTED <br />� Oorrections'isled below MUST �iE MADE bFfo�e r�orK c�+n be approved. <br />� Please contact inspector and a�range for appoii�irnnnt. , <br />�'Nas not able to perform inspe�lion. <br />� CALL �425) 257•881Q FOR REINSPECTION — 2d h�.�u� notice rr�qiured. <br />/U�i��� �� lL�..� �Yz �� N a-� <br />l�n�aJn/�%�' cIT �-�n/G/ � 7>2�i7� <br />>`ysi�,vy iL� i �.�y � sTA� L(�-T� <br />���,::�, ,a� ��� <br />Dale � ^ 2� �' ( <br />� <br />