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ENGIPlEERING / PUBLIC SERVIC�S <br /> INSPECTION REQUEST <br /> Address y�a � _�ro ��`�(�4 f,� <br /> CoMractor <br /> Owner �acN <br /> Date o�y��Time <br /> TYPE OF INSPECTION REQUESTFD <br /> ❑ SIDE SEWER Ldf �� <br /> ❑ CURB/GUTTER/SIDEWALK AW D?jo7-�Z,Z <br /> ❑ STREET <br /> ��1C��d4�pM S-/�-D<l <br /> INSPECTION RE�UESTED ON Q <br /> pATE TtIdE <br /> APPROVAL ❑ PARTIALAPPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST ElE MADE before work can be approved. <br /> ❑ Please�ontact inspector and arrange tor appointment. <br />� ❑ Was not able to per(orm inspeclion. <br /> ❑ CALL 425-257-d870 FOR REINSPECTION –24 hour notice required. <br /> Inspector Date �� ! 7 —�r <br />