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EIdGINEERING / PUBLlC SERVICES <br />INSPECTfAN R�QU�ST <br />/,� ��, /��,,, j <br />Address_�.�%%]d'(1<% �f�N e — –"'u/�JS � <br />Contractor � S � S __ ? <br />Own r � <br />� <br />Date � C� fJ Time � Z c (�— __ <br />T PE OF INSPECTION RE�UESTED <br />❑ SiDE SEWER �j � <br />❑ CURB/GUTTER�SIDEWALf< ��� � ° �� ��� <br />❑ STREET x--�"'��''-' <br />� -- �Y pr� rrn/ ;�c!;�'i'�"� ,�'1� _.. � Z' S f� / <br />INSPECTION REQUESTED ON____._ ��' __ _ _ <br />L`AI[ i�pr <br />�APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRtD <br />CI Corrections listed beiow MUST BE MADE before work can be app«:-�.��! <br />il Please contacl insoeclor and arrangz for appoiMment. <br />❑ 4'Jas not able to perlorm inspeclion. <br />L CALL 425-257�8810 FOR REINSPECTIOtJ — 2d hour notice requ�re� �: <br />- �- ^-- -- ---�--- —. _.. <br />� l2Jl ,4� z--,���_1-�/�r u-�9 _ <br />_ . ��� �w.-` e,•. <br />