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ENGINEERING % PUBLIC SERVICES <br />lP1�PECTIOId REQUES'T <br />!.. i � y:` Co�/l'T jLilT - <br />Address =�Z ? /F3 '�=� �1�'�. l.�t, <br />Contractor L/�,u�� y�y� ��N� <br />- �r— <br />Owner _ ' • _ <br />Date ;__r==p� Time <br />TYPE OF INSPECTION REOUESTED <br />❑ SIDE SEWER <br />!7 CURB/GUTTER/SIDEWALK <br />❑ STREET <br />❑ <br />INSPECTION REQUESTED ON�-c1_ __�� _ ra� <br />n.nF. ---nr.•F - <br />❑ APPROVAL ,'�PARTfAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Corrections listed belo�v MUST BE tv1ADE before work can be �:i�,: �� <br />❑ Please contact mspector and arrange lor appointment. <br />❑ Was not able to perlorm inspection. <br />❑ CALL 425-257-8810 FOR REINSPECTION - 2d hour no�ice rey�_� ��� i <br />-t"'O.�lTi9c�F /r7T.�0 ✓�i ��">,ri� .sc__ � s — 4_- <br />�:-.'A%Fl� �.2rr sy`ris�c�n�y <br />� _. <br />iiTL� �� L.�tiT�'f�s TGY� L/� di= <br />I�S/�/��°LT fis - B�// TS .r�i;//� .f�2ar/�� <br />�TI�i1 PL�N�i��e� ��✓v /-i,�r o��'-- <br />,� <br />— � <br />Inspector__ - ._- �_ - -- �--- -==-Dale�.._'., `"`_, �,':' <br />