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ENGIW�ERING / �UBLIC SE�i�'IC�S <br /> INSPECTION REQUEST <br /> Address__�C��/ �j��Q_L��,�a y <br /> !- <br /> Coniractor <br /> Owner (�(� �� r l^ _ <br /> Date / -�l y-Cf� _ Permit No: l��'✓o`�C,2-c�is <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER SIDEN�'ALK <br /> ❑ STREET <br /> 4��ia�•�j e.����g—��su1�-- ------- <br /> INSPECTION REQUESTED ON �i� <br /> n�ii — — r���E <br /> � APPROVAL � PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE belore work can be approved. <br /> ❑ Please contact inspector and arrenge for appointment. <br /> ❑ Was not able to perform inspeclion. <br /> ❑ CALL 425-257-8810 FUR REINSPECTION —24 hour notice required. <br /> I � 'rl ���' 'uS 6'f' CYrwrLC�...O�� <br /> 'T— <br /> _ _ G C _ <br /> _ U /< /- zo - c� � <br /> Inspeclor��f�r= /_/i�/�Ji•��y�/ Date�—' �U— U C <br />