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ENGINEERING / PUBLIC SERVICES <br /> 4 INSPECTION REQUEST <br /> 'I 1, <br /> Address <br /> Contractor <br /> Owner F-A, I <br /> Date —7 =�� Time _ <br /> TYPE OF INSPECTION REQUESTED Lac S <br /> ❑ SIDE SEWER /� <br /> ❑ CURB/GUTTER/SIDEWALK / W o l ix, -OZ/ <br /> ❑ STRr�E,�ET <br /> INSPECTION REQUESTED ON_ _ <br /> WE bVl <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> ❑ Please contact inspector and arrange for appointment. <br /> ❑Was not able to perform inspection. <br /> ❑CALL 425.257.8810 FOR REINSPECTION-24 hour notice required. <br /> 0 <br /> Z dr1v-4Way / <br /> - - <br /> 15S Al f 0 W wd -1 55 toe h a <br /> � , �v, ly �Inisirrr <br /> Inspector_ <br />