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Date <br />ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address ___ _ _� f (�&--� � Si �_— <br />Contractor___.__ _____ <br />Owner ___����_ _ <br />Time <br />TYPE OF INSPECTION RE�UESTED LG <br />❑ SIUE SEWER <br />0 CURB'GUTTER'SIDEWALK <br />❑ STPEET <br />�. ��c�� F,.0 I st l�vQu.Qeal '�/aa <br />3v <br />W�PECTION REOU�SiE00N �. <br />_.i,.q ne�r <br />�'APPROVAL O PARTIAL APPROVAL <br />❑ VIOLATIGN ❑ CORRECTION REQUIR�D <br />❑ Coneclions hsted below MUST BE MADE belore uork can be npproved <br />❑ Please comacl mspecior and arrange 'or appomlmenl. <br />(1 Was not 2ble �o perlorm inspoction. <br />(] CALL 425�?-�i-8810 FOii REINSPECTION - 24 hour noUce reqwrad. <br />��5���a� <br />�j� � <br />W� WZ--�� oaia__ ��� <br />