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ENGINEERING / iPURLIC SERVICES � <br /> INSPECTION REQUEST <br /> Address �3 �io rµ F�[ �_ <br /> Contractor�Du�1f,C' D C�+ST�r` ��SrlN� <br /> �, �, i . <br /> Owner — <br /> Date l��f7���_ Time <br /> _ � <br /> TYPE OF INSPECTION REOUESTED � <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET <br /> r�/�N�1-� I�SP�LTIu�J <br /> INSPECTIONREOUESTEDQN._________ � _. ___— <br /> oaf u�ne <br /> ❑ APPROVAI. ARTIAL APPROVAL <br /> O VIOLATION CORHECTION REQUIRFD � <br /> ❑ Correchons listed below MUST BE MADE belae woik can be npproved. <br /> ❑ Please conlact insper.tor and arrange lor appoimmenl � <br /> O Was nol abte lo perlorm inspeciioi. <br /> ❑ CALL 425-257•8810 FOP REI�JSPECTION -24 hour nouce required. <br /> T,e. o,�s �?f'R°uE0 , _ '; <br /> __f1NJ�-� C.o, w��� ��. iss�u� � <br /> ul��✓_���NE w.+Y At'�Ra�N �+'u4��"� ! <br /> i <br /> — __— __— q <br /> __ + <br /> w <br /> l �..��_ o0 <br /> Inspector �4E�LJ�� — Dale/----- <br />