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EPIGINEERING / PIIBLIC SERVIGE'S <br />INSPECTION REQUEST <br />Address_ _ � <br />a��s--��------- <br />Contractor _____ _ _ __ <br />Owner --�����-_ ---- <br />Date �.� �./ _ _ Time _ _ __ <br />r <br />TYPE OF INSPECTION REOUESTED `� ? <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />°" /a� F de� 11c ��P4� 4/a i <br />INSP[C710N REOUESTED ON �� <br />9 <br />I �uU 3rc �oy� <br />r.n ��n�r --. . <br />APPROVA� ❑ PARTIAL APPfiOVAL <br />❑ VIOLATION ❑ CORRECTION REOUIRED <br />I7 Coner.t ons I�sled below MUST BE MADE befine work r,an be approved <br />f 7 Pleasa contact insp=ctor and arranye lor appoinlment. <br />C7 Was nol able to parlorm mspection. <br />CJ CALL 425�257-8810 FOR REINSPcCTION - 24 hour nolice required. <br />Inspaclor�� <br />Da�e `i '22-`-7 <br />