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I�� <br /> �EI�GIME@RI�IG / PUBLIC SERViCES <br /> II�6�PECTiON REi�UEST <br /> Address_ '�1,�1 Lc�,Z1�� �� <br /> Contractor _ <br /> Otivner �� Ui�Pi(,J <br /> Date _���3— CJ(o Permit No: _L�I/Q��/ -i�1p <br /> TYPE OF INSPECTION 9EQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER�SIDEWALK <br /> ❑ STREET n �� 1 <br /> �:__��.1����1(.1�—(�D�l���o�f�/ -- <br /> INSPECTION REQUESTED ON____ ` __ <br /> oa�e rii�: <br /> ❑ APPROVAL ❑ PARTIALAPPROVAL <br /> ❑ VIOLATION �'G`ORRECTION REQUIRED <br /> orrec!ions listed belolv MUST 8E M�DE before v+o�k r.an be approved. <br /> � Please conlac! inspector and arrenge for appointment. <br /> ❑ Was not able to perform inspection. <br /> ❑ CALL 425-257-8810 FOR REINSPECTION—24 hour nolice required. <br /> �� .S� _����Q G��ti-��%s �,1���_�v� <br /> C.9�s v� /�CcJC:S <br /> 2 r9.—�'iL /�/l�� .� E'�r) ADI i/a�:/.,+ L <br /> ��T C� �� Ti rvLe�-7, �T-��-A�'�;�.:.,� -- <br /> ��z2s <br /> �) S,4r�AC� %6/ � LL£ y� ��DS jo_ <br /> ��' /�',4;�rid'v <br /> Inspector _.G�U�� _,?'`/ Date_ �� <br />