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ENGINEERING / PUBLIC SERVICES � <br /> INSPECTION REQUEST <br /> Address c'.O/ ICYf�/'�,Sii9 i9t�. �-t' <br /> Contractor <br /> Owner <br /> Date G �•p`� "'� Permit No: <br /> ����— <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTERiSIDEWALK <br /> ❑ STREET <br /> �; _j�/�c � T=iyy�G.. _ — -- - --- - --- � <br /> INSPECTION REDUESTED ON � I <br /> CAIE iV.•G <br /> k <br /> ❑ APPROVAL ❑ PARTIALAPP AL � <br /> ❑ VIO�ATION CORRcCTION REQUIRED <br /> ❑ Corrections lisled below MUST BE MAUE before work can be approved. <br /> ❑ Please contact inspector and arrange lor appointment. <br /> ❑ Was not able to perform inspedior�. <br /> ❑ CALL 425-257•8810 FOFi REINSPECTION —24 hour notice reqwred <br /> ���,G S%/_��,�'.SLG'�'�S �/N�^=�� <br /> J�2�'�/is/Sr��T� �%T /ic/t=�l� <br /> � ��.�i� �G�� i.�/����'�Ti��tJ <br /> ��SiT��_��-? �� �v�1� <br /> ,��?'/��/!'��7UiY �' <br /> L'�9�G /a/�5/lJS/ �ll"'l/�� <br /> �S �-s� 7� / <br /> Inspector�L/� �� �� _Date 6�__" �� <br />