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�, <br />� <br />�i ✓J c o//� ipRl�- <br />ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address � S Z � � c�� �o� <br />Contractor �B N <br />Owner �T S `—�Z r / 1�'S � <br />Date ���/o'��L Time 9 �� �-� <br />NPE OF INSPECTION RE�UESTED <br />❑ SIDE SEWER <br />❑ CURBIGUTTER/SIDEWALK <br />❑ STREET <br />❑ <br />INSPECTION REDUESTED ON � <br />DATE iIME <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION O CORRECTION REQUIRED <br />❑ Corrections listed below MUST BE MADE betore work can be approved. <br />❑ Please contact inspector and arrange lor appointment. <br />❑ Was not able to per(orm inspection. <br />❑ CALL 425-25'-8810 FOR REINSPECTION - 24 hour notice required. <br />�,�'- �/�/-e / 8 �G U 6 � � <br />/�� .- � ��.�r��,.,l� . <br />