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t F.,;, f <br />ENGIPlEERING / P�B�IC SERVICEa <br />INSPECTION REZU�ST <br />Address ��ao n�dcs�Ls� <br />Contractur <br />�wner =�a.�`R�LE,�e�tf.Tnkpa.�zL4 �il.ilw.a' <br />Uate a- -aO-d��__ Fermit No: �DS//-D�/3 <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STRE[T <br />��-���' --C �,����. � <br />INSPECTION REQUESTED ON � <br />UATE TINE <br />�'AP�P�R�O�V�AL � ❑ PARTIALAPPROVAL <br />u VT�LRI IUN ❑ CORRECTION AEQ�IRED <br />❑ Corrections listed below MUST BE MADE belore work can be approved. <br />❑ Please contact inspector and arrange lor appointmenl. <br />❑ Was nol able lo perlorm inspeclion. <br />❑ CALL 425-257•8F310 FOR REINSPECTION – 24 hour notice requirzd. <br />C�G �=�— 'Z /G _ Q 7 <br />Inspecror � _ �=i��l��"%'�.�_Date <br />