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� <br />� <br />Date <br />ENGINEERING / PIJBLIC SEiis310ES <br />INSPECTION RE�UEST <br />Address _ _ _ 3U '�o? "� f 7`s� <br />Contraotor <br />Owner _ 7PQrr:�e�C� <br />I �__�_ Time <br />TYPE OF INSPECTION REOUESTED <br />❑ SIDE SEWER I.� 03 a 9-ai i <br />❑ CURB'GUTTER/SIDEWP,LK <br />❑ STREET (� <br />�---CR -�C� ----� bni�alit9_v1�Y0-4Atr-��_9�CiJ <br />INSPECTIO�REOUESTED ON R <br />nnr nur <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION ❑ CORRECTION REQUIRED <br />❑ Correct��ns lisled below MUST BE MADE belore work can be �pproved. <br />❑ Please coniact inspecta and inanye Ic r appomtment. <br />❑ Was nol nbte to perfo�m inspection. <br />❑ CALL 425-257�8810 FOR REINSPECTION — 24 how nouce required. <br />__ r�,�___ctddress_��.eue�-_ <br />4iee,� or� seWP/, i4 �" &w ei- <br />-- -Sh..` �s � r� !e �___�B �--l�e� <br />-- -t�ls tsw---.—��eT�� �f�G� 2cw , <br />i„5����� ----�/���C�i'�" oa�e �/"�'d3 <br />