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� v� u�l il- oiJ <br /> ENGItdEERINS� / PUBLIG ��RVICES <br /> INSPECTION REQUEST <br /> Address�Y�/'I�T /I�IG_ S��`-i <br /> NGcviN� ya��S <br /> Contractor <br /> S/yc-ZG ` C o.� CGn%5�� <br /> Owner S� O� —_-_ <br /> Date �'_ /6 - O � Time /,l. /'?_--- - - <br /> �� <br /> TYPE OF INSPECTION REQUESTEG <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTERiSIDE�^:ALV: <br /> ❑ STREET <br /> �7"r-�'�/ ���-(�C_��--�?_�—���` ' - . <br /> �----- <br /> INSPECTIOPJ REQUESTED ON__ _ �-- - - <br /> o,vr �i��r <br /> ❑ APPROVAL �'PARTIALAPPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> � � � �r�edions listed belo�v MUST BE MADE before work can be approved. <br /> . '��^ase contact inspector and arrange for appoietmeni. <br /> . �, ,`.�s not able lo per(orm inspection. <br /> �.i �,:�:LL 425-257-6810 FOR REINSPECTION –24 hour nolice required. <br /> ; - <br /> Z��� �/21"� �,�1-/�/7SS' /��'S/�/S�f�`l�O <br /> `�i'�TiSC`��i�� —' STUici'7 -- <br /> G'�J� .�- Giz.9z��r� 0, �C – <br /> �— _ <br /> ---� <br /> .• <br /> . �_ , i C, �-i S– c�'�. <br /> In;F'-�Clo� � !/T/'- _ li-�'!�� � �� —. Daie_4____ - . .___ _ <br />