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ENGINEERING / pUBLIC SEEiVICES <br />INSPECTION REQUEST <br />Address Z(p// ��q��� � <br />Contractor <br />Owner / vr rl <br />Date �O-�-CZ Time <br />TYPE OF INSP[CTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />u az�c ��� <br />INSPECTION REQUESTED ON � � � ' �— <br />OATE PME <br />❑ APPROVAL � PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections lisied below MUST BE MADE before work can be approved. <br />❑ Please contact inspec�or and arrange for appointment. <br />O Was noi able to perlorm inspection. <br />❑ CAI.L 425•257•8810 FOR REINSPECT�ON — 24 hour notice required. <br />