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,h1�+'� <br /> ENGINEERING / PUBLIC SERVICES <br /> INSPECTlON REQUEST 4 rZ <br /> Address__�� o13G'�7�iS� _ <br /> Contractor _ <br /> Owner ---��'^.+-(GQl��+:-����� — <br /> Date _�3_(c_(r(/�—_ Permit No: �{y_(��-_QjJc <br /> TYPE OF INSPECTION REGUESTED <br /> ❑ SIDE SEWER I u/�jO(� -D( � <br /> ❑ CURB�GUTTER/SIDEWA�K � 1 <br /> a 1 i�o�ti l�K«v;� �� J <br /> ❑ srqEET > <br /> � -�-�-,-- lSD_r_1t-�U�Ld�<,c���U�S c�n-�_ <br /> INSPECTION REOUESTED ON C' <br /> l)41F iiME <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Currection; hs�ed below MUST BE MADE be(ore work can �e approveG. <br /> ❑ Please contact inspector anC arran�e for appointment. <br /> ❑ Was not ablr lo perform inspection. <br /> ❑ CAL�_425-257-8810 FOR REIN� ECTION-24 hour notice requiied. <br /> ./`—�1f�'zUll���✓l� s�/�/�`C�� <br /> ( <br /> � <br /> Irspector. ������ �--Dale�. �--/�—�� <br />