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ENGINEERING / PUBLIC SE�VICES <br /> � <br /> INSPECTION REQUEST � <br /> Address I�O� G��l�JJ'��_ j <br /> Coniractor � <br /> o�vner l�c��z[�] � <br /> , <br /> Date <br /> �TC� Time j <br /> i <br /> TYPE OF INSPECTION REQUESTED � <br /> ❑ SIDE SEWER y�`vU�7� . <br /> � � i <br /> � CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> �—�91 G��l#����'�f—��(Z � <br /> INSPECTION REQUESTED 0� � <br /> DAtL lI1dE � <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL � <br /> ❑ VIOLATION D CORRECTION RE�UIRED <br /> I <br /> ❑ Correclions lis;ed below MUST BE MADE before work can be approved. <br /> ❑ Please conlact inspeclor and arrange for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 425•257-6870 FOR REINSPECTION—24 hour notice required. � <br /> ! <br /> N � <br /> � <br /> { <br /> , l0 ✓! � . <br /> - � <br /> � <br /> Inspector 1 _ � ��te + <br /> 03 z� <br />