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. � . . . . '� .`.� . .. . � v l i�.�'��.� ��'N• <br /> ENGINE�RING / PUBLIC �ERVICES <br /> INSPECTION REQUEST <br /> _ r <br /> Address_�_1 ` ,"' i,,: i; L._.._ <br /> Contractor <br /> Owner <br /> Date :-�- : 4 -,-,� Permit No: PW UC00/-Ck�fo <br /> TYPE OF INSPECTIGN RE�UESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> ❑ � - l��;':� � �,�� � , , r r,�: :� � - � <br /> - 1=------ <br /> WSPECTION REaUESTED ON d_ ^� - , �, t� " ';' �.� <br /> nTe ,�ve <br /> ❑ APPROVAL ❑ PARTIAL APPROVA(. <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections Gsted below MUST BE MADE belore work can be approved. <br /> ❑ Please contact inspeclor and arrange lor appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 425•257-8810 FOR REINSPECTIGN—24 hour notice required. <br /> � <br /> _ i�'t-!/7i<{:i� l./),•_Ur'V" c�.- -f—'. �.r_ .�./. ,.. <br /> _ � � <br /> � <br /> i�---, �. ��{'� .,��1C �'�,--(-�J!!�/- r,/�1 ( c_+};/y,� — <br /> _�it�,) 1_��.;��'��i �-,on ,� r 211r� �.. <br /> ��� bn��, ,, ' , ��. t�.£iL��lr��... � '�-- ' 'o, <br /> � ' <br /> ,, .� � -- <br /> — ; i�� . _ <br /> Inspector_.__ ! ' ' � . - _Dale ' <br />