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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> ���-��i���� <br /> Address /QQ�7_ ./3�d/��, - <br /> coT 3 / <br /> Contractor_�j�/,Z��__ __ _— _. <br /> Owner _�pi�c%i�__ ���`z_�� _ <br /> Dale g --lg 'a7 _ _ Permit No. —_ <br /> TYPE OF INSPECTION RE�UESTED <br /> 3GSIDE SEWER <br /> UTTER/SIDEWALK <br /> � STREET <br /> �'� -- — - <br /> INSPECTION REQUESTED ON _ @ __ <br /> DATF T I I.f E <br /> � . APPROVAL ❑ PARTIAL APPROVAL <br /> �� VIOLATION O CORRECTION REQUESTED <br /> � Corrections listed below MUST BE MADE before work can be approved. <br /> � Plcase contact inspeclor and arrange for appoinlment. <br /> U Was not able lo pertorm inspection. <br /> � CALL (425) 257•8810 FOR REINSPECTION — 24 hour nolice required. <br /> - - --. — _ . _ _ _ __ I <br /> - � � _ � � _ _- _ — I <br /> Inspeclor Dale ___- --_ _-- <br /> n�:.iu ie,iu•,l oa�nnnrr. uie. <br />