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� <br />� <br />ENGIPIEERING / PUBLIC SERVICES <br />INSPECTiON REQUEST <br />Address_3Z��• V��MoZE f��(G+ 72-� 5- <br />O N� <br />� _ <br />Conirac'or <br />Owner �L �- (�CUl� �o��N'L <br />Date _ � Z %- C�.S _ Time <br />TYPE OF INSPECTION RECUESTED <br />❑ SIDE SEWER <br />❑ CURB GUTT ER SIDE6"JALK <br />❑ STREET <br />❑ <br />MSP[CTION HFOUESTED ON_ E. <br />— — <br />o,r� -- �u.�e <br />�APPROVAL ❑ PARTIALAPPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Cerrechons hsted belo�v �dUST BE MADE belore wark can be approved. <br />❑ Please contact mspector and arrange lor appoinlment. <br />❑ 1Vas not able lo �,erform inspection. <br />❑ CALL 425-257-8610 FOR REINSPECTION - 24 Y�our nolice required. <br />_ - - -�y— ( <br />Ic.�ectrr �.1,� __l_"l \/ Date_J'�%-C�.� <br />�j� ----- --- — <br />