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;``.� �P��Ii���RI�G / P'l7�l.IC SERViCES <br /> <:: INSPEVTIOtd FtEQIJEST <br /> Address �=�%� ���h�� <br /> Contractor <br /> Owner ��'��'' �'i>'"7"7'���✓ <br /> Dete l �-�—�C Fermii No. <br /> T"PE OF IIi:;PECfIOfJ RE(]U[STED <br /> _� SID� SEWFR <br /> � CURB/GUTTER SIDLWALK <br /> � S�REET <br /> �i �L�.. �ii�r-'" �— <br /> IP1SPEi.TION R�QUESTED ON <br /> i,;,.._ <br /> �AFPROVAL J PARTIALAPPROVAL <br /> � VIOL i N J CORRECTION REQUESTED <br /> ,ediom, 'i=ted below MUST BE MADE belore work can be 2pprove�l <br /> . "�",ise contact inspector and arrange (or appointment. <br /> _ , .�;c not able lo porform insoect�on <br /> ... ,"C.L (425) 257•�010 FOR P.EINSPECTIOn — :'�:. i� +u: i�.:•� � ,��y�,��.'r�f <br /> � /� ,rC%�:.�L �'%'L"�i� ��^��I2=�l`� <br /> C�/�� /-,/���/7/�''" .�"' _�v -�'�`� <br /> � <br />