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ENGINEERING /PUBLIC SERVI�ES <br /> INSPECTION REQUEST <br /> Address S��✓F�Z �✓y,r- //( '= Si� S.'�, <br /> Contractor �iV/[/��25%fL L�9�un <br /> Owner <br /> Date J�� _� Time <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER �n c�gTING ocr a � ��OB <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> ��^�/!4 �"4113� /7/1'ii�/_p�- �/?E f/Y��, <br /> INSPECTION FEQUESTED ON C�__ <br /> DAiE TIn�E <br /> PP ❑ PARTIALAPPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> . ❑ Corrections lisled below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange lor appoinimenl. <br /> ❑ Was not able to pertorm inspeclion. <br /> � CALI.425•257-8810 FOR RFINSPECTION-24 hour nolice required. <br /> SE{✓��' /`�r�//f 9/✓O l-a�T1r2/t�S <br /> �i�171J`tG� 5��7'��J'c'7'07�`�. '—filT� <br /> /' yDiz�i.fi— .�v,i-z�S7� �, ��. <br /> Inspeclor CL/.L7=L/�_�/ Date sllG y 7G+4� <br />