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ENGINE�RING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address /(��'>/.� i��x/S / s��PG. � <br /> Coniracior �j�il/�ST� �S�arf�' S <br /> Owner • � '' <br /> Date 3=z%' --v7 Time <br /> TYPE OF INSPECTION RE�UESTED <br /> ❑ SIDE SE`NER �GVUGG(p C�-� <br /> ❑ CURB�GUTTERlSIDEWALK <br /> ❑ STREET <br /> � -��L -- --- - -- <br /> INSPECTION REOUESTED ON C� <br /> -- �,.rr--- ---:,�r�-- <br /> ❑ APPROVAL ❑ PARTIA OVAL , <br /> ❑ VIOLATION CORRECTION REQUIRED� <br /> �.Coner.tions Iicia�n�i��..,�h1UST 6E MPOE before work an 6 �ooroved <br /> —� <br /> ❑ Please contact inspector and arrange tor appointment. <br /> ❑ Was not abte to perform inspection. <br /> ❑ CALL 425457-881D FOR REMSPECTICN-24 hour notice reqwred. <br /> Vf//C//.sil C/��i� ��/1��t �fi��_ <br /> �/"lG1G Ca� �l-G ��l-'S�.r� S�ic -— <br /> �� GT�i�i_�-= sGG��s /�T iZ��' Cit _. <br /> _��'lQ�/�S 7� � Z / S/f� � v� iY�/!�;! <br /> :��� 2��"f"r�L� �� �'�STI�'�li/c'�/ _ <br /> O.-�..���/S .5��� �'C'�'I�cL�� /��/,3�_�'--, <br /> U 2c^fvt/� �?rSTIVF �,�/��•J,�' �z <br /> _L1I'�'.�D� P'c•�.� -- <br /> (�� �ii3r��-T ��-��i�rTs _ <br /> Inspeaoi --- —.— - --------- _Date-- -- <br />