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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address `_Lo<<= ckS _C�� <br /> Conlractor <br /> Owner �J��1� <br /> Date �'��� Permit No:j�11/(75ria-031 <br /> TYPE OF INSPECTION RE�UESTED U p5c3 -C/L <br /> ❑ SIDE SEWEF <br /> ❑ CURB/GUTTER�;:IDEWALK <br /> ❑ STREET <br /> �� _J�-/La-G--%—. -- - - <br /> INSPECTION REQUESTED ON _ ___ �s _ <br /> LAiE tiA•[�- <br /> p APPROVAL ❑ PARTIAL APPROVAL <br /> O VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correclions hsted belo�v MUST BE MADE before work can be approved. <br /> ❑ Please contacl inspeclor and arrange for appointment. <br /> ❑ Was not abie to perlorm inspection. <br /> ❑ CALL 425•257•8870 FOR REINSPECTION-24 hour notice requued. <br /> � <br /> Inspector��� � �� Date e' S� �t�°% <br /> � ' �� <br />