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�NGINEERING / F�IJBLIC �ERVICES <br /> iNSPECTIC?N REqU�s'T <br /> Address �rj�� ' �! �v�� 5�7�'fE <br /> Contractor <br /> Owner <br /> Date 5 -I •GS Permit No: �(y0�f07 �U�' <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER La� 3 � <br /> ❑ CURB/GU�fTER/SIDEVJALK <br /> ❑ STREET <br /> ❑ g Id JTP%M �f � s �,.�11.��./ <br /> INSPECTION RE�UESTED ON � _ <br /> DATE il�dE <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Correcti�ns lisled below MUST 8E MADE before work can be approved. <br /> O Please conlact inspector and arrange for appointment. <br /> ❑ Was not able to pertorm inspection. <br /> ❑ CALL 425-257-8810 FOR REINSPECTION—24 hour no�ice required. <br /> Inspeclor D-ate <br />