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� <br />� <br />Dale <br />ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address _�� Z L�/ �f�f��1��c/ _ <br />Contractor YfJn/ D(i�.�j3ciY� L'd-✓s i <br />Owner _ _ <br />Time <br />TYPE OF INSPECTION REOUESTED <br />❑ SIDE SEWER <br />❑ CURB;GUTTER SIDE�VALK <br />❑ STREET <br />�( _�i�/�� _lir� /���U p� ��y,-�'�i�vE <br />INSPECTION RE�UESTED ON___ _ _ �;� <br />o>,c �— ---�,,,� <br />L�APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Cu�reciions Iisted below MUST BE MADE before work can be npnroved. <br />❑ Please cont.�ct inspectur and arrange for appoiniment. <br />❑ Wr�s not able lo perform inspeclion. <br />❑ C�ILI 425•257-8810 FOR REINSPECTION — 24 hour notice required. <br />` Cc/�/2i< 5/�j7Si=�'�Lt`�'� <br />Inspector_GL/—�/ — /—,/i�fY'7��y/'---_--.Dale���,�2aJ� <br />