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� <br /> ENGINEERING / PUBLIC SER�,/ICES <br /> INSPE�=TION REQUEST <br /> Address���C:�(_/[y(�e a � <br /> Contractor <br /> Owner I�ccC�� �i2�s <br /> Gate ���L�� Permit No: O�l'D�z <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTERISIDEWALK I <br /> ❑ STREET I <br /> � ��-��/ I. <br /> INSPECTION REdUESTED ON l d ��"� (� � <br /> OAiE TIME � <br /> APPRQVAL ❑ PARTIAL APPROVAL � <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED I <br /> ❑ Cnrrections listed below MUST BE MADE be(ore work can be approved. <br /> ❑ Please contact inspeclor and arrange tor appoinlment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 425•257•8810 FOR rIEINSPECT�ON —24 hour nolice required. <br /> In;pector_—�. � --l�.- `�'`''Y'.�-- —Date �br��� �, . <br />