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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address��lt� J �(t'/cS �Y' <br /> Contractor <br /> Owner ��r r��r ✓l _ <br /> Date � - ZC) -C�(� Permit No: �����`1�� b <br /> TYPE OF INSPECTION REQUESTED U�y <br /> ❑ SIDE SEWER <br /> ❑ CURBIGUTTER/SIDEWALK <br /> ❑ STREET <br /> ra. �`�Km.�_SLzI,��l.��L1c��y�c1��.�t cr�,�/�� � ' <br /> INSPECTION REQUESTED ON � <br /> DA7E llA1C <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections lisled below MUST BE MADE belnre work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was nol able to perform inspection. <br /> ❑ CALL 425-257-8810 FOH REINSPECTION—24 hour notice required. <br /> Inspector Date <br />