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EFIGINE�RIMlG / �1�LIC SE�VICES <br /> iNSPECTIOId REQUEST <br /> Address y 3a- �67� .�S.E <br /> Contr3ctor <br /> Owner R � ����lc �l�P t� <br /> Date � -�a-Cts Permit No: t�Lt./U`�GQ'C��i <br /> TYPE OF INSPECTION REQUESTED LPt.'�j' <br /> ❑ SIDE SEWER �Q,������ <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET � <br /> Q —�a�J��P�M�� � n c//Pc� I <br /> INSPECTION REQUESTED ON � <br /> OAiE fIME <br /> ❑ APPROVAL O PARTIAL APPROVAL � <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑ Was not able to pertorm inspeclion. � <br /> ❑ CA�L 425-257•8810 FOR REINSPECTION —24 hour notice required. <br /> 1 <br /> Inspeclor_ Date ��� �r'� <br />