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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address_�U�3___�.t�'�t7 t �/` __ <br /> Contractor_�i�,9�J J� l�f(w Cp�aTdA�� <br /> Owner .A.1� _ <br /> Date � � J�1J C� c� Tme _/ � ;G(Co pNi <br /> TYPE OF INSPECTION REQUESTED <br /> �SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEVJALK <br /> ❑ STREET <br /> � � - - - _- - - -- _ <br /> � INSP[CTION REQUESTED ON __ _ �S _ <br /> UA1C iI1dL <br /> • ` ❑ APPROVAL �f PARTIAL APPROVA <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections lisled below I�tUST[3E MADE before work can be approved. <br /> ❑ Please contacl inspector and arrange lor appointment. <br /> ❑ Was not able to per(orm mspection. <br /> ❑ CALL 425�257�8810 FOR REINSPECTIOIJ-24 hour notice reqwred. <br /> ��� �IJ� C�0J,1C'V`FFi -/u/1 (/✓-� /\Cri-�iCC <br /> _�i9_dd��r.g,—� � Aol�l�b( .Tl�ntil,u ��JG �iFIL <br /> T �9'1^iGdT l��� f-cA�1.rr 'aZC) ` �� • ��'� <br /> ��[�I�r � ( �-3' C J c.>S H �� c� ([ r0 <br /> ��' - I �� z <br /> ' U o� -c�� - <br /> �C�J(�p�� —�� f�nsGX�.1J1 ��JJiLl� ll�� <br /> �2�'S"�f`�� CSU -c'[: �'i �£a�? <br /> C�o�G_o� - -c�c,G � u,I� c <br /> ,, �. <br /> Inspeclor -;�,����_"�-- -�----)�^l�l;;.l.�tiJ ___.—.—Date--�._�Ut.._C �i _ <br />