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Tp pn�TING sEP z o zoo5 <br /> ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address � (��S Eve�e /f- i�� <br /> Contractor 1�A�fiACt�- <br /> Owner _ _ <br /> Date �� I� — L� _ Permit No: /�WU�Ir"f��� <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURBrGUTTER SIDtWALK <br /> ❑ STREET <br /> ❑ <br /> INSPECTION REOUE$TED ON tii <br /> nnr�—.— ui,e <br /> ,�(APFROVAL ❑ PARTIALAPPROVAL <br /> � ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contacl inspector and arrange lor appointment. <br /> ❑ Was not able �o perlorm inspection. <br /> ❑ CALL 425-257 ^810 POR REINSPECTION–24 hour notice required. <br /> ��.�2—(.�,�t� !.N a'1 <br /> inspector 'I��r _ Date J ���0-5 <br />