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�1'l�l��t�i� " �Z(Q <br /> ENGINEERING / PIDBLIC SERVIGES <br /> INSPECTION REQUE�T <br /> � �--� <br /> Address_,QQ� '� � Z� �� <br /> Coniractor�� <br /> Owner �oyS_/�� <br /> Date �Z —�� r Time __ ���.� <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ 51DE SEWER <br /> ❑ CURB�GUTTER SIDEVJALK <br /> ❑ STREET <br /> � ----- <br /> INSPECTION REOUESTED Oh ____ � _— <br /> � n..,[— nv: <br /> ❑ APPROVAL ❑ FARTIALAPPROVAL <br /> ❑ VIOLATION CORRECTION REQUIRED <br /> � Corrections li,ted belo�v MUST BE t.1ADE belore work can be approved. <br /> ❑ 'lease con�act inspcctor and arr�nge for appointment. <br /> ❑ Was not able to periorm inspection. <br /> ❑ CA�L 425-257-8810 FOR REINSPECTION —24 hour notice reqwrrd <br /> / // �/�/ 2�-��. �/��S _. <br /> v C�ci�--l�'-r2 Cr����c� <br /> Inspo�tor_ . _ c�--�,_ � �>'__�.... _ . Dale -- <br /> J� <br /> i„ <br /> ,,. . <br />