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ENGINEERINr / PUBL.IC SERVICES <br />INSPECTION REQUEST <br />Address 1-Z � (p - / / l� 7N `� 'Sr <br />Contractor _ <br />Owner ��1'�I /� �'-/--� ""'� <br />Dute I Z-2 Z—ll Permit No: I�Gi%�0���15�5 <br />TYPE OF INSPECTION REQUEST[D <br />'.7 SIDE SEWER <br />O CURB/GUTTER/SIDEWALK <br />�STR T�S_�4S—r� ���— Ul.�l[-l�-�—Clf2I�)�t�) <br />INSPECTIO�I REOUESTED ON_______ � — <br />���p 11ME <br />❑ APPROVAL ❑ PARTIALAPPROVAL <br />❑ VIOLATIOfJ O CORRECTION REQUIRED <br />— —��— <br />❑ Correcllons lisled below MUST BE MADE belore work �an be approved. <br />❑ Please con�acl inspeclor and arrange lor appointmenl. <br />❑ Was not able to pertorm inspechon. <br />❑ CALL 425-257�8810 FOR REINSPECTION - 24 hour �olice required. <br />��� ��rYf����/� � <br />_ f'//�/C !-+,fll��S fii✓�/ , ic%v�> <br />l//Oic/ � /�/l/�5��'�}�i�/✓ S'/7--_��` <br />2 i9 �/, <br />