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�'r,vin <br /> ENGINEERING I PIJBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address_ :��j / /}��:�y,�l[Q, <br /> Contractor___ <br /> Owner l�dnl/�� <br /> Date _ �d _/�_G�� Permit No: �Q�,�,_�� <br /> TYPE OF INSPEC i ION REQUESTED <br /> ❑ SIDE SEWER �' U(,��,,I .� ,�J' <br /> l <br /> ❑ CURB/GUTIER/SIDEWALK <br /> ❑ STREET <br /> ❑ _J�rtfxs-����tt—1,�.r-Idl14��— -- - -- ---- <br /> INS!'ECTION REOUE:.'TED ON �S' <br /> pal[ —��— ---IIMF <br /> ❑ APPROVAL ❑ PARTIAI_APPROVPL <br /> ❑ VIOLATION � CORRECTION REQUIRED <br /> ❑ Correclions lisler uelow MUST BE MADE before work �3n br approved <br /> ❑ Please contact inspeclor and arrange br appointment. <br /> ❑ Was nol abie to perform inspection. <br /> O CALL 425-257-8810 fOH REINSPECTION-24 hour n��.ice rcyuired. <br /> lU,amNU �✓ <br /> __.�s- 1 �� � �r} <br /> Inspedor � Daie 2' /O b� <br />