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ENGINEERING / PUBLIC SERVICES <br /> INSPECTIO�1 REQUEST <br /> Address T?l��—C.c��w"'(�_i,�y� <br /> ►�� /� <br /> Contractor /��f� 5 __ <br /> Owner i�L_(�J� l��{IJ� �� _ <br /> Date �� ZZ/!J!� Time � � 3 � <br /> TYPE OF INSPECTION PEQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB�GUTTER�SIDEWALK <br /> ❑ STREET ,J v//Z� C_-,� C�'v 1�-`77c��riJ -- <br /> v� <br /> �.—/__ — — - — <br /> INSPECTION RE�UESTcD ON _ �i __ _ <br /> oarr "'.''- <br /> ❑ APPROVAL ❑ PARTIALAPPROVAL <br /> ❑ VIOLATION ❑ CORRECTIQN REQUIRED <br /> ❑ Corrections listed below MUST BE PdADF belore work can be appruved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ GALL 425-257-8810 FOR REINSPECTION–24 hour notice reqwrcd. <br /> .�Irl s��LS � � �z.�� - <br /> �r7�� S��-vt� �'Z �'49�7�- - <br /> ---� Ci–�' Date._ �� z2 e`�_ <br /> Insp -.tor_. .._ — <br /> --b--- <br />