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r M <br /> ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST L.�J y <br /> Address_�� 'x ��_}�Av.f� <br /> Contractor�� <br /> Owner �/�,./�_PL��1-��-S�-riaOK� <br /> Dafc ���)�, Permit No: �,�J05(�-(1j� <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDESEWER ( LI �l�S GL� \al �Pa��I <br /> ❑ CURBrGUTTER�SIDEWALK ',�.t�rJtA � h \ <br /> / <br /> ❑ STREET <br /> ❑ <br /> R�SPECTION REOUESTED ON �: <br /> � f.41! . . _ � iJ�[, . <br /> ❑ APPROVAL ❑ PARTIALAPPROVAL <br /> ❑ VIOLATIUN ❑ CORRECTION REQUIRED <br /> ❑ Coriections Iisted belovr MUST BE MADE befare work r.an be appwved. <br /> ❑ Piease contact inspector and arrarge lor appo�Nment. <br /> ❑ W,s not able lo perform inspection. <br /> ❑ CALL 425-25A8810 FOa REINSPE'"ION—24 hour noiice required. <br /> '"%�-� //i'i�i-vl�r/Y��L� - s����y�/Y <br /> � > <br /> Inspettor.—��//��I:�te�—� �/j—G G <br /> � <br />