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ENC�INEERf'NG / PUBLIC SERVICES <br />INSP�CTION REQUEST <br />Address� 3�o���'r___�r,_S ,� . <br />Contractor ��C i% ��7 Z —(�O_z_ <br />Owner ����¢n/k. f"t—I.Si" �' ��Ui(%� <br />�' Z —O�y <br />Date � lS Time <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEbVER <br />❑ CURB/GUTTERISIDEWALK <br />❑ STREET <br />�--�cG/��L'lf=� <br />INSPECTION REOUESTED ON_ ________ � __ _ ___ _ <br />or�rc nr.e <br />❑ aPPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />1Cj Correclions listed below MUST QE MADE before work can be approved. <br />❑l'lease contact inspector and arrange for appoinimenl. <br />❑ Was not able to perfon. � inspection. <br />L7 CALL 425-257�8810 FOR REINSP[CTION — 24 hour notice reqirred. <br />---- -��! -� 5�-�ri'���� -- 1 �.��' . <br />—G��2���–I�E us� T <br />