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� � <br /> ;`' ENGfNEERING / PUBLlC SERVICES <br /> " � <br /> <'= INSPECTION REQUEST <br /> - , <br /> Address l Od 3� �'lo n cQatti /�,y <br /> Contractor <br /> Owner �v✓r h�si�i ( <br /> Date /� - y-fifo Permit ho. rWOSLYa-L�,Z7 { <br /> 4 <br /> TYPE OF INSPECTION REOUESTED � <br /> � SIDE SEWER <br /> � CURB/GUTTERiSIDEWALK <br /> � STRE6T <br /> .� ;,,�a�s�� ,' ��5 a�C fi ��. �, �,s�„� <br /> INSPECTION REOUESTED ON ��� <br /> ❑ATE 1IAtE <br /> � APPROVAL J PARTIAL APPROVAL <br /> � VIOLATION J CORRECTION REQUESTED <br /> _i Correcti�ns listed belo�v MUST BE MADE betore work c�,n ba npprnvo�l_ <br /> � Please conlact Inspcctor and arrtanqe lor appointment. <br /> � lNa; not 2ble to perfu�m inspoction. <br /> CALL (425) 257•8810 FOR REINSPECTION — ?4 hnur nnticr� ��,;� i i..�{ <br /> �/T� //y�,�-d ��'�z.-�s,�--S <br /> S�TiS/—�`c-�o�k. <br /> , ,C�L/t� Gli✓l�iY�../ �' '� /'O - Q,S - D� <br />