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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address _�_� � f- � C F=t ` --- ---- <br />Contraclor �[,ti ��C� F <br />Owner TC'[ �� I�ATt�) ��ll� SE.� --- -- <br />Date �%' /y-�-` _ Time `1' ��' !1�°� ___ <br />TYPE OF INSPECTI��N REQUESTED <br />❑ SIDE SEWER <br />❑ CURB GUTT[R SIDEVJALK <br />❑ STREET <br />❑ <br />INSPECTION REOUESTED ON_ __ ___ _ :� _ __. ___ <br />r,.,r� - u��t� <br />C�l�APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections lisied beluw h4UST �E MADE before �vork can be apn�cee�J. <br />❑ Please conlact inspector and arrange for appoiniment. <br />❑ Was not aUle to perform inspeclion. <br />G CALL 425-257�8810 FOR AEINSPECTION - 24 hour nolice requred. <br />Inspector I�: b�_ I'\"C.� ,\.c_.c '- Date �_�i�"r.� <br />1� � <br />