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EtdGIBVEERiIdG I PIJBLlC SGFtVICES <br /> INSPECTION REGlUE�T <br /> Address���� '�G���� <br /> Contractor _— <br /> Owner �_�("�.� ��t LL C _ <br /> ��,tc _�(_'�•��__ Permit No: �WU3!(-c��7 <br /> � -� TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURBIGUTTERiSIDEVJALK <br /> ❑ STREET <br /> rf __J3_lr�—��(�r�.. �r-z y-G y-- <br /> I��iSPECTION REQUESTED ON _ �� <br /> oarE nv� <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections lisled below MUST dE MADE before work can be appruved. <br /> ❑ Please contact inspeclor and arrange for appointmant. <br /> ❑ Was not able to periorrn inspection. <br /> ❑ CALL 425-257-8870 FOR REINSPECTION -24 hour nolice reyinied. <br /> , � --- <br /> 1 <br /> � \ - <br /> ' -- <br /> -- �� <br /> �' U <br />� <br /> � <br /> 1 _ <br /> Inspector_____ _ _Date ___ <br />