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�NGINEERING / PUBl.IC SERVICES <br />INSPECTION REQtl�ST <br />Address_ __Z(u��=9�p ��� .S� —_-_ <br />Coniractor <br />Owner LeapLL� ---- <br />--� J <br />Date 1 �� - L3 __ Time _ <br />TYPE OF INSPECTION REOUESTED L%�' <br />❑ SIDE SEWER ncvp3o2..,pz6 <br />❑ CURBIGUTTER'SIDEW�LK <br />❑ STREET <br />� 31c1y l�nal��luc��!!oi� �'r.� '%j <br />INSPECTION REOUESTED ON �� <br />. . . I�.111 I:I.�� � <br />� APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REDUIRED <br />Cl Con�r.iions hsted below MUfi� t3E M�D[ belure �vork can be app�oved. <br />f] Pieasr cont.acl inspec�or and ananye lor appoinlment. <br />O Was not able to perlonn insp�tction. <br />!J Cb1LL 425�257�8810 fOFi R[INSPECTION - 24 hour nouce reQuired. <br />---- -- - �� -'�� -- <br />i�s,,��:��„ <br />�2; (�iYe�,r�.,.-�- oa�e It —/-�--°3 <br />