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� <br />� <br />��' G. 5 � "_ — <br />ENGIPIEERING / PUBLiC SERVICES <br />INSPECTION REQUEST <br />Address _ aQ I 5 }�(j /y� f����� <br />Contractor <br />Owner 7PSSc� <br />Date �: –/� �GS Permit No: G(i3- � <br />TYPE OF INSPECTIO�! REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER-SIDEVJALK <br />❑ STREET ,� <br />,C3 --�itn'C- . _ — _ _ _ _ _ _ -- <br />INSPECTION REOUESTED ON ce <br />�ere u��r. <br />„�,NPPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections hsted beb�v MUST BE MADE before work can be approved. <br />❑ Please contacl inspector and arrange for appoinunent. <br />❑ Was not able to perlorm inspection. <br />❑ CALL 425-257•8810 FOR REINSPECTION – 24 hour notice required. <br />� Cr� �C s i>e�–c . <br />%"�r- �-rrss�� � - zq_o� <br />In,peclor l�L/f�� /_ /j� �� y/�3-�% — _—Date G _s �� - �� S� <br />