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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address �u o3.�a FG V r .�/` <br /> Contractor�;.t�dj �` �(w �'�1'q�C� <br /> Owner �1A.T'1' _ <br /> Date ��fy ,���_ Time / � ,�(G pNl <br /> TYPE OF INSPECTION REQUESTED <br /> �SIDE SEWER <br /> O CURB'GUTTER/SIDEWAIK <br /> O STI�EET <br /> 1 � - -- — -- ---- _ _ _ __ _ _ -- <br /> i INSPECTION REOUESTED ON__ _ ___ _ co __________ <br /> UFiC 116�[ <br /> ' ` ❑ APPROVAL �f PARTIAL APP�OVAL <br /> ❑ VIOLATION O CORRECTION REQUIRED <br /> ❑ Correclions listed beiow MUST OE MAGE before work can L•e approved. <br /> ❑ Please contacl inspedor and arrange for appoi�tmenl. <br /> ❑ Was not able to perbrm inspection. <br /> ❑ CALL 425�257�8810 FOFi REINSPECTION –24 hour nolice r?quired. <br /> —�'f'�.r0 4/..r� C�ol.� r _ .t� r�, �Cw�.cC.. -- <br /> �7/a L��aT o. � � A ooAl.�n�/�n u,��� �C f�L <br /> r ��s�J��a7� r��� f.cA� ac� ' C�� ��_ <br /> r: ���T � I }�' C J vS H �cx �1 r0 <br /> F t�,U L _ <br /> ' U e�G -G� - - <br /> � �O�J�=C:I�� f'�Gc�JJT {J J� �J�tl✓C� <br /> ��—�--�=-G_�c� � R t��� <br /> L_c>`_- �y - ^ -c�C: r,�� ,7=, c <br /> j;�. <br /> Inspedor .�_��_��'}.JV�.l-+tiJ Date� f f C�t��C (� <br /> [' - — <br /> � <br />