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ENGIfdEERING / PUBLIC SE4VICES <br /> '� INSPECTION REQUEST <br /> Address ��`G �����17 I�✓c�- . <br /> Contractor LI��Y��STGr15�`'-� �d/���hj �< , <br /> Owner <br /> Date 7�� ��G� Permit No. ���'���' c'�� <br /> TYPE OF INSPECTION REQUESTED <br /> J SIDE SEWER <br /> � r�I4RlY� 11'TCR/C�f1G1AlA�l I! <br /> � STFEET <br /> J <br /> INSPECTION REQUESTED ON �� <br /> D�iE TIME <br /> �APPROVAL J PARTIALAPPROVAL <br /> � VIOLATION � CORRECTION REQUESTED <br /> � C�,necu�ns Iisled below MUST BE MADE hefore work can be aporoved. <br /> � � .�se contact inspector and airanye for appointment. <br /> . 1;4�s not able lo pertorm inspeclion. <br /> :l;i.L (425) 257•8810 FOR REIkSPECTION 24 hour notice re:,:rrcc <br /> /��,_,.:�2'j>r�;�;T (/�'�7ti�S _ f�'F,�c'1,iE� <br /> - ,�// / ��C/'- u,,��, � � L!� <br /> �..-,� //�3� <br />