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r <br /> EPIGINEERING / PiIBLIC SER�/lC�S <br /> IN�SPECTInN REQUEST <br /> Address /����� j/OtL�;%.� _____ <br /> Contractor �'if-�� l'Gc��___ _ <br /> Owner __ _ <br /> Daie >= ,'��_ Permit No: <br /> __:-=-o.��,_ .,._--mm�e.�t _.. _._ <br /> 11'�_ CF I�JSPrCTIC)N REQUESTED <br /> ❑ SIDE SEWEi? <br /> ❑ CURB/GUTri i; :If_,;_1;;,�F:. <br /> ❑ STREET <br /> �_/? L,✓ /i/��i'=- <br /> IPJSPECTION REOUEST[D ON <br /> -- - - ' _ <br /> o [ <br /> <_L�_aPPROVA� ❑ PARTIALAPPROVAL. <br /> ❑ VIOLATION ❑ CORRECTiGU REGUIRED <br /> .,�,�� ,��_. <br /> ❑ Correclions listed tiel�w MUST BE MADE before work can be approv�d. <br /> ❑ Flease contact inspector and arrange(or appointment. <br /> ❑ VYas not able to perform inspection. <br /> ❑ CALL 425-257-8810 FOR REINSPECTION-24 hour no�ice required. <br /> S/i� /f�/fjt'Ol/l�"1sr�r/7� .�TjS�/��7'�;":�— <br /> .�_� r{ <br /> Irspeclor --� — n.,tz_S__/`=%_e� <br /> _ l- <br /> --,;� -- -- — — - <br />