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�- ENGINEERING / PUBLIC SER�i10ES <br /> <" iNSPECTION REQUEST <br /> rr �} <br /> � Address %U � SiL�/�. f�,���v �V� <br /> 1 � <br /> Contra�tor �eny ,zv,giJlC�� DdA �T•+TQ�c{� <br /> O�vner / /1►�CE � �sste, <br /> Date /�l� ' O 1 Permit No. /"'✓D��'S � �>S�, <br /> -- �7 7n5- o� <br /> TYPE OF IFJ5PLC7�nld RL(?Uf=ST�[� <br /> � SIDE �EWER <br /> � rURB/GUTTER/SIDEWALK <br /> � STREET <br /> J <br /> INSPECTION REQUESTED ON /�I d��7 � �Z,�D.� <br /> . _ o�,-�_ nr.��- <br /> �APPROVAL J PARTIAL APPROVAL <br /> � VIOLATION .� CORRECTION REQUESTED <br /> � �'urrections lisfed Dolo�r MUST BE MADE be(ore work can be approved. <br /> -i "li:ase cnn;act InspeUor and arranqe tc a�poiniment. <br /> � l'J,�s nnt able to peifam inspecfion. <br /> i CALL (425J 257-OU10 FOR REINSPCCTI6N �: lio�,� not�ec r�=i�nni;l <br /> �2c5j`",✓�,,7�� L- I S S�sf�c� —�'e e(C <br /> �T- �'n�/S71'�vc��✓ E�v�"g,i/c� NE�Ds <br /> � �'e vf'��b, �r�r�-C ��vs�- w�s <br /> ��rris �.-a�r� r�, <br /> ��h���Ts,�_y 5�.��f�2 .1,✓Sa� L� 1sS�TisFiac� <br /> 5i����� �I�jLair� ac�F S'ys7��� �Nsra�-� <br /> sf��rs r���y � .v.�,�-�� `��'�- <br /> , ��, <br /> ' < < � �f ���� A,e.�.✓S <br /> �,ti'D Fj�i��ff ,Di�3fn,� �.c/ �f,�ST`>/!�E of- <br /> ��i�, <br /> �,ti%vI ���v �:.. �_��-o� <br /> � <br /> ; <br />