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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address /__�2$_/7QN�ps ,y�� <br /> Contractor�. ___ __ _ _� <br /> Owner <br /> Date �-3Q=o6____ _ _ _ __ Permit No. �'�6 0 <br /> _oS - Z�_ <br /> � TYPE OF INSPECTION REQUESTED <br /> CI SIDE SEWER <br /> U CURB/GUTfER/SIDEWALK <br /> q STREET <br /> � At .�-�NyG _- - - <br /> INSPECTION REQUESTED ON. __ _ � <br /> DATE _ .._ _- TIME_--__...__ <br /> ❑APPROVAL ❑ PARTIALAPPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUESTED <br /> U Corrections listed helow MUST BE MADE before work can be approved. <br /> LI Please contact inspector and arrange for appointment. <br /> U Wa; not able to perform inspection. <br /> U CALL (425) 257•8810 FOA REINSPECTION — 24 hour notice required. <br /> s� ��ff2F,1�-��~'�.vU _ S�/y�-1Si�� <br /> � _S�lf3J��'l' _7� y�z/STin�c_ t,�y�> <br /> , <br /> /y��� /5�i5/1>. c�.�i�✓6C _ _Fi2d��`__ ..- - <br /> .��i�✓c— STi2lP_ <br /> Inspector L�/�' j��/p`r�„�� onte Q �30�06 <br /> - EPSIR(6/0.h1 <br /> DAiABAR.INC. <br /> � ���� <br /> �-,' . <br />