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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address G � �'_ �% ff/�/�`�_�� l�•�, <br />Conlractor ���. <br />Owner _ ___ <br />Date / Z -�3 -G S Tme //_ " �C7 <br />-- TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURL�'GUTTER,SIDEVI'dLK <br />❑ STRFET <br />�--r,�/fG <br />INSPECTION RE�UESTED ON_ _____ _ __ �` _____ _.__ <br />OiIE 1'pt <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOL.4TION ,f�CORRECTION REQUIRED <br />❑ Correci�uns listed below MUST BE MADE t�efore �•:onc �an be approved. <br />C Please contact inspec�or and arranye �or appomimene. <br />❑ 1Nas not able to perform inspection. <br />i_I CALL 425-257-8810 FOR REINSPECTION — 24 hour no;ice req�.r�ied. <br />_ C.�'�U� �k/�D�—�% SOl�_� �/7�-f <br />_ /Y<<LLi�/ � /fj� T� %Tz�UC �/% <br />�.�.�OS/D �I _ <br />_%'GG /nl_1`�_��rZ�i�ii��—/�v�..7�-� <br />�L_ <br />�T.�/�'E Q'l� ffs�/�/O /G�/� 1-'-U� <br />_ �I—��'LG��Y J�'�ca � s �i.l <br />_ � 'C _ i�/�izi-� <br />Im.:� i�cior L'G/�__l/�.�%'YP1_t�/_ Daie /2 —/� - c� <br />�� z s- 3�J - ��� - - <br />