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ENGINEERING / PUBLIC SERVICES <br />INSPE�TION REQUEST <br />Address __ v� so� 5�_ f� 7� �_�— <br />Con�ractor <br />Owner _-. -_--__--- — <br />Date - .LG-f]_-4�_. _ T�me <br />TYPE OF INSPECTION REDUESTED�G f S <br />❑ SIDE SEW�cR <br />❑ CURB GU'iTER!SIDEWALK <br />❑ STREET I <br />�67 ,q/G� 1'i1G�PGl - lC/iy�G � <br />INSPECTION Rf:DUESTEU ON <br />► . � <br />. - <br />• <br />w <br />,,,n � �., <br />l3APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REOUIRED <br />❑ Corrt��.-hons lis�ed �elow MUST PE M(�DE belore work can be approved <br />L7 Please conlact inspedor and arranye lor appointmenl. <br />O Was nol a�le lo perfoim inspeclion. <br />❑ CALL 425�257�8810 FOF? REINSPECTIOfJ - 24 hour notice reqwred <br />---- -. . ___. <br />� <br />��-` � /6-20-�3 <br />i�r,� ecioi_ "�L"„ --- Dale__ — — _ _ __ <br />