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�IdC�INEER1�dG / PU�LIC SERViCES <br /> � � �'� ' INSPECTION R�QUEST <br /> �r�� _ <br /> Date: z ZT� 3 Permit. � _ LG& (� �� <br /> Project/Owner: GILG�{,/�/� ��� <br /> Contractor. �py/ `�~N�� �`���� <br /> Site Address: ,� �� � �zT"—vx S' L` ' <br /> TYPE OF INSPECTION RE�UESTED <br /> �_ i �'`�Sewer S stems Slreet/Road F3asc <br /> ��"Stonn Drain Systems Roof/Footing Dr��n : <br /> Wa�ystems Public Works Final <br /> Curb I Gutter/Sidewalk <br /> Olher: <br /> �,r APPROVA� PA;�TIAL APPROVAL <br /> � VIOLATION CCRRECTION RE�UESTED <br /> Corrections lisled below NIUST BE MADE 6efore work can be approved <br /> Please contact inspector and arrange for appointment. <br /> Was nol able to perform inspection. <br /> CALL(425) _ FOR REINSPECTION — 24 hour notir,v reyuired. <br /> S/o� s�0✓��z �/vl� /�aGr--'�� ���'t�� <br /> ,_'_:'�:�",�'S /�v$7}LLvrla �"�"���I'� <br /> - ---- -- _ <br /> �nspecior ��/.i.C,�' •%�p'A9�y./ �t�—Z`Z7'"/3 <br /> _. .... ...... . . <br /> ,.. .. �.,. l�"_ <br />