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ENGINEERING / PIJBLIC SERVICES <br /> INJSPECTION REQUEST <br /> Address J 3G/ J f 3(/ S�{;c����Q,'/�_ <br /> Contractor _ <br /> Owner ___ <br /> Da!e __J_�—��� °ermit No: <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER �(�5�8' -Uy� <br /> ❑ CURB-GU1TERiSIDEWALK f- �O �{' �p <br /> ❑ STREET <br /> � � �P:��-,�,�:��- ---- <br /> c�,�� <br /> ItdSPECTION REOUESTED ON __ � ____ ___ <br /> pGiE LM[ <br /> i.7 APPROVAL � PARTIALAPPROVAL <br /> ❑ VIOLATION ❑ CQRRECTION REQUIRED <br /> :�1 Correclions lisled below�dUST BE MADE before work can be approved. <br /> f] Please contact inspector and arrange for appoinlmeN. <br /> J 11�as not able to periorm inspeclion. <br /> ❑ CALL 425-257-8810 FOR REINSPECTION—24 hour nolice required. <br /> --__� y a �z,,,�, ayr r��( c1'k <br /> � � <br /> — �' ���i <br /> InS�('Ciuf _ �dIC <br />