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ENGINEERING / PUBLIC SERVICES <br />4-Irr INSPECTION REQUEST <br />Address 1/U33 <br />Contractor 7e • /i/7 / Cy✓ U <br />Owner <br />Date :3 UC0-o7 Time _ PWVUC)Q-Gt3 <br />TYPE OF INSPLICTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />A j-xr✓�fG /' l�iy/it/ Zip <br />INSPECTION REQUESTED @ <br />DATE RlE <br />❑ APPROVAL ❑ 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 perform inspection. <br />❑ CALL 425.257.8810 FOR REINSPECTION - 24 hour notice required. <br />Pl11diZ ?10/�/r9G PG�`n5�i2r� <br />DizcsS uP S,�z��sP�S�` P� <br />