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ENGINEERING 1 �1B� SERVICES <br />IkSPECTION REQUEST <br />Address __l-�. t�� <br />GOfliiaCtO( <br />Owner ShP��� ��� <br />Date � (�-G� Permit No: ��Jo�1 _"� <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />� S�I�—o�c�C�V�.�/�c� � — <br />INSPECTION REOUESTED ON —. @ — <br />DAiE IiMF <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CGRRECTION RE�UIRED <br />❑ Corrections Iis1eJ Uelow MUST BE MADE bebre work can be approved. <br />❑ Please comact inspector and arrange tor appoiNment. <br />❑ Was not able to perform inspection. <br />❑ CALL 425-2�810 FOR REINSPECTION — 24 hour nolice reyuired. <br />� <br />� �ir5 i �O —�— : 'i i <br />� - �� - %=��`— i �✓o i <br />Inspector <br />