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ENGINEERING / PUBL"IC SERVICES <br /> INSPECTION REQUEST <br /> Address_�p � '-_(�o� r e., /Q,,_�_ __. _ <br /> Coniractor _ _ <br /> owner _ �- vt L D� ✓L-- __ <br /> Date __�� -(i S _ Permit No: �r�i�5 C �(.G'� <br /> TYPE OF INSPECTION REOUFSTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> i <br /> a� -�;1U1+..� - 1:�.�c;.x�� -- -- -- � — -- <br /> INSPECTION REOUESTED ON Q <br /> DAiE 1i11f <br /> �APPROVAL O PARTIALAPPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections lisled below MUST BE Iv1F�DE be(ore work can be appro��ed. <br /> G Please conlact inspector 2nd drrange(or appointment. <br /> O eVas nol able lo perform inspeclion. <br /> ❑ CALL 425-257-8870 FOR REINSPECTION -24 hour notice requved. <br /> - •-� I <br /> �' � ��' CS <br /> Inspector t�� ': �' t�l . •\'� Date_''-� �- _ <br /> �„ �l <br />