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�,ti���� <br /> ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address_�Q(, L( J i�tytur'Q.�I`_tc_L— <br /> Contractor <br /> Owner <br /> Date ��_�] Permit No: � C�J�n(J�i-G,�Y <br /> TYPE OF INSPECTION REQUESTED <br /> �J SIDE SEWER <br /> ❑ CURB/GUTTERiSIDEWALK <br /> ❑ STREET <br /> � _C_���'_�-� �,��'.��c�l�lu� <br /> INSPECTION REOUESTED ON � <br /> oaic *ieiE <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> L7 VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below tv1UST BE MADE belore work can be approved. <br /> ❑ Please contact inspeclor and arrange(or appoin�ment. <br /> ❑ Was not able to perform inspeclion. <br /> ❑ CALL 425•257-8810 FOR REINSPECTION—24 hour nolice requirad. <br /> �: ,r ���,> >o+�s� , � ,,ti,�s .�l��l�� �d: n; <br /> ��c ��-S.'rr/ �E <br /> � <br /> , <br /> _ ' S / e <br /> Inspector '--�'L_,. " L � Date� <br />