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ENGINEIERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address _� ��:> �----�-7-� 1" L_.S'E — — <br />Con�ractor L �-j� �r,w.eS _ <br />Owner ���,� _��� _ I <br />i <br />Dale _�_ � ���__ Time _ <br />TYPt OF INSPECTION FEDUESTED I <br />❑ SID[ SEV�'ER <br />❑ CURB�GUTTER.�SIDEWALK <br />❑ ST!�ET <br />4l� _ <br />INSPECTION REOUESTED ON u� <br />„� n nA,r <br />[D�11'F'PROVAL C] PNRTiAL APPROVP.L <br />❑ VIOLATION ❑ CORREGTIUN REQUIRED <br />f7 Correcuons hsted below MUST f3[ MADE belore work can be spproved. <br />fl Please cunlacl inspeclo� and ariange I�r appoinlmenl. <br />C] Was not able to perlorm inspection. <br />[] CALL 425�257�8810 FOR REINSPECTION - 2» hour nolice reqwred, <br />----//��• < � <br />�nspecior !(E� � (� ` �" ��•n�.—"� --Da�e_ � � "�' _ <br />