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ENGINEERING / PUBLlC SERVICES <br /> INSPECTION REQtJEST <br /> Address�?v O'3 �Gt£G t9 t �/" ___ <br /> Coniractor�„9.UJ� l�r(w ('pu�11QA�� <br /> Owner M/4-T'T <br /> Date �f �l��f c� co Time / � ,�(C� pN�_ <br /> TYPE OF INSPECTION RE�UESTED <br /> �7 SIDE SEWER <br /> ❑ CURB;GUTT[R/SIDEWALK <br /> ❑ STREET <br /> � ---- --- — -- -- – ---- <br /> � INSPECTIOIJ REOUESTED ON__ _ (� _ _ __ <br /> p41E iIC[ <br /> � <br /> • ` ❑ APPROVAL �PARTIAL APPROVAL <br /> ❑ VIOLATI0�1 ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST�E IdADE befnre woik can be approved. <br /> ❑ Please contacl inspector and arrange for appoinlment. <br /> ❑ Was not able to perform inspertion. <br /> ❑ CA!L 425�257•8810 FQR P[INSPECTIOtJ -24 hour notice required. <br /> �"�r0 o�.r co�c r /W4 c,�.J �cn-�.oc., -- <br /> �a��4�T�—��/.w( S/��1J�u��1c, RFt� <br /> r �s,���aT n�, ,�cAir.r- � ac� ' C�� �JC,-- <br /> ��(J 1�T� � I ��' C'J c�S H i� cX ft r0 <br /> _�t,�� C <br /> ' U o� -G� - <br /> ���_—� �`rc�,.x.�7' V3a��JJ�i�c� <br /> ��-�c`�( �,u -cc-: �', �t,�? <br /> v C�G - ����_ —CC,G C,I��T'- C <br /> In�pector--C,''.-,`_"-- � � �Ai�.l...r,_=1-- ----.Date--� � �C� l..,C L--- <br /> . �'t.�. : . — <br />