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/ <br />/� <br />,r�►A✓� <br />�NGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address ((�y 1 �' D�� v,a �k /��oi — <br />Contractor <br />Owner �(�+��-a'N £, <br />Date �c -/�-US Permit No: i/ ���fG3-0 i <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER Cq�Q -(%� <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STRE <br />❑ �� ! �.� 6�A�dn � <br />INSPECTION RE�UESTED ON � _ — <br />on.e nrne <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATIUN ❑ CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspeclor and arrange for appointment. <br />❑ Was not able to perform inspection. <br />❑ CALL 425-257-8810 FOR REINSPECT!ON — 24 hour notice required. <br />/ <br />ii�Otls� 7'ai2f= /i0 c✓ �/ �/ Y�,� f <br />Inspector_ <br />