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_ �td�G11VE�RIP�[G / F�UBLIC SERVICES <br /> :�' liVSIPECTiON REQUEST <br /> , � g�Zd <br /> ''' Address � -3���/1Cf- S r, <br /> u�viT j <br /> Contractor�yC/� � <br /> Owner Ii?��u`?il.� t• ����5��, ' <br /> Date � ` 7l � �%7 Permit No. <br /> TYPE OF INSPECTION REQUESTED <br /> �SIDE SEW— E�, <br /> � U -R�SIDEWALK i <br /> � STREET I <br /> � <br /> J <br /> INSPECTION RE�UESTED ON �� � <br /> DATL TrtdE � <br /> ( ��iAPPROVAL � PARTIALAPPROVAL �' <br /> ` ! V i � CORRECTION REQUESTED <br /> �. ���ucct�ans 'r;ted belo�v MUST DE MADE before work can be approved. � <br /> � �'lease comact inspectnr and arrange ta �appoirtment. <br /> i cJas not able to perform inspection. <br /> CALL (425� .^.57-R810 FOR Rti!NSPECTION — 24 hour notice required. <br /> � � �L7iY�:rC•"�7U-(/� i�si'-%fC�� <br /> «/�L/^l.�����'/ � -z6 - o�j <br />