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EP�GINEERIN� / PUI3LIC SEF3VICE� <br /> IR9SP�CTION f�E�iUEST <br /> Ad�lress_�2`'G__�'✓Qcl� S��— — <br /> Con(ractor��L4�k/-��Cv-n,l ' c�� - - <br /> � � D�'-✓ <br /> O�vner �/��4//ITj'�• <br /> Date �ll�" « Time �_�<-- <br /> TYPE OF INSPECTION REQUESTEG <br /> ❑ SIDE SEWEP <br /> L CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> /, <br /> 1� --��T��14�3�' /E,_�r��� _ _� =U_I%s( <br /> INSPECTION REQUESTED ON ��� <br /> oaiE �— - ---i�cc <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correclions listed belo�v MUST BE MADE before�vork can be appreved. <br /> ❑ Please contac� inspector and arrange �or appomiment. <br /> ❑ Was noI a61e to perform inspection. <br /> � ❑ CALL 425457-8810 FOR REINSPECTION-24 hour notice requircd. <br /> ii --- <br /> __ i�LDC� _`T 5�� � o� - — <br /> , �L-�Lc — lz�� iGi<JR='�-�/19r4fitJ -%�"S�E��— <br /> �-�t�'= - <br /> - - / , <br /> Ic<�,e�L::r .:- _ --"'� - ---� ._.- . . - ---- . .D3;e � _[`�_.��.. <br />