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ENGIIdEERING / PUBLIC SERVICES <br />INSPECTION RE�UEST <br />Address ___�_J��_t'czbwGr} ��Il Q-- <br />Contractor <br />Owner ��fR.an CC�(-L��1-Y-1 — <br />Date ._�p - ZS -��yS Permit No: �Pu)DSUS-�$ <br />TYPE OF INSPECTION RE�UESTE� ��'>5 oY, .(y.�9 <br />❑ SIDE SEWEP. <br />❑ CURB�GUTTER�SIDEWALK <br />❑ STREET <br />��_ �_�����'._ C�,�tS-,�-G.��rf�! -- -_ . <br />INSPECTIJN REQUESTED ON___ _____ � __ _ <br />en1E �e•� <br />f� P.PPROVAL O PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Correcuons listed below MUST BE MADE be(ore work can be approved. <br />❑ Please contacl inspector and arrange for appointment. <br />❑ Was not able to pertorm inspection. <br />❑ CALL 425•257•8810 FOR REINSPECTION — 24 hour notice requued. <br />Inspector `��... 1�_ L..� �_ c..�� Date �� � � � - � �-'i - <br />