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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address I�/�/ -_� 1�����.�- <br /> Coniractor <br /> Owner ��r�a _ __ <br /> Date �Q� Permit No: �bvp�Gl Y/.Z7 <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ 31DE SEWER � <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET < <br /> �, 4� e___��Tr{�e��-l��g�-- � <br /> INSPECTION REQUEST[D ON � I <br /> DAfE 1�A�E I <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE betore work can be approvad. <br /> ❑ Please contact inspector and arrange lor appointment. <br /> ❑ Was nol able lo pertorm inspection. <br /> ❑ CALL 425•257-8810 FOR FEINSPECTIOV—24 hour notice reauired. <br /> --�!�� - �e� <br /> , <br /> �nspector�{ Date ` � <br />