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1�� `Y' <br /> ENGINEERING / PUBLIC SERVICES <br /> INSpECTi ION REQUEST <br /> Address�jLc��n/C� 1Yr1� l`� <br /> Contractor <br /> Owner ___Sn�.ur�.�� Ltv <br /> Date - 3-LjG PermitNo: �Gtl(J,SO�L�� <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER (iiGS�U'CJ��O <br /> ❑ CURB/GUTiER/SIDEWALK <br /> ❑ STREET <br /> ��s �_�����,,��� - — <br /> INSPECTION REQUESTED ON @ <br /> UAiE 1��'E <br /> ❑ APPROVAL ❑ PARTIALAPPROVAL <br /> ❑ VIOLATION C3-20RRECTION REQUIRED <br /> �orrections listed below �dUS7 BE MADE 6efore work can be approved. <br /> ❑ Please contact inspector and arranye for appoinlment. <br /> ❑ Was not able to periorm inspection. <br /> ❑ CALL 425•257-A810 FOR REINSPECTION—24 hour notice required. <br /> O� J��-i:ft Cc.Ea.,I —Uc/'S M'C tJ �l�C <br /> �—.4P.S Q2 i.✓GS 1,�:S�a tc�U <br /> �z ���'�� /� — .cs �✓��� Aoo,;,a.,,.� � <br /> L ;.�r �.%��s��u.:���.�i) l��et,�,h �t2 �s2 s <br /> �-7� /`Y�� �i�L% ��"G 1n/ C-i� Y �1.�2'�'.UI <br /> /a /.5� /��1-:G<1E+� <br /> Inspector_�/�L �� _Date �� OG_ <br />