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ENClNEERiNG / PUBLIG SlERVICES <br /> ��� INSPECTION REQUEST <br /> / Date://( 7���'Permil: / "JIIIZ -W b <br /> rro�ect /Or✓ner: ��/�'�7f �7� /�12a-��cly��'��.. � <br /> Contractor: � <br /> J <br /> Sitc Address3� � i�1/�."� S �. <br /> TYPE OF INSPECiION REQUESi i-D <br /> Sewer Syslems Sheel/Road ['. �sc <br /> Siorm Drain Systems Rool 'Footinc Ura�ns <br /> Watcr Syslems Pul-hc Vvork� Finrd <br /> Curb!Guiter/Sidewalk <br /> X��t,�-. 6''�2� L-{,v� �" f G�. C4n>� <br /> X APPROVAL PAHTIAL APPROVAL <br /> VIOLATION CORRECTION REQUESTf_D <br /> Corrections lisletl below MUST BE MAD'c before work can be eppro�����. <br /> Please conlact inspector and arrange lor appe'.nlment. <br /> Was not able to pertorm ��n;pection. <br /> CALL(425) FOR REINSPECTION — 24 hour notice ie❑u�red. <br /> / 7�L L-f� b `�7�� �J��'- 4 v t� <br /> ����- � �� D.y �2.? 4N� <br /> /�I�i'�o-.�7)�7� �Y'wys�/z� Te�T <br /> 2 z�t^�s� r-�,2 2�,uri�v;�� <br /> �,viT7! .tr� Lv�� s;rrrs�=.Ptc;Z-�'�'y <br /> �,g,v� , �.�'�[.�.� �� . //-��i--1� <br /> , y �; <br /> % <br />