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��1 ��v\ YC� E'0&TIII�C _____-- <br /> ENGINEERING I PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address___�_a ���/�1(�=.��1J��-�.. ____ <br /> Contractor -- <br /> Owner 17/�J (��L� <br /> Date �_��_(��— Permit No: _j�{�513=C� <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> G CURB/GUTTERlSIDEWALK <br /> ❑ STREET !� � <br /> ❑ , '? (���!'�rl` , <br /> INSPECTION REDUESTED ON « _— <br /> o,,e ni•E <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correclions listed below MUST BE MADE betore wonc�an �e ap;��o�.etl <br /> O Please contact inspeclor and arrange for appoiNment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 425•257-8810 FOR REINSPECTION –24 hour notice requ r�d <br /> — 5�i(�1��� ���4�i✓/G� 5 �i✓�i��G`/Z� <br /> C,l/7�7t/55�.� <br /> ' � - i' �" // e<LC= <br /> Inc�ceaor , `✓�� -- �� Dale_ --- <br />