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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> AddressI C;- 75T`,A1 f <br /> Contractor <br /> OwnerQgr/ <br /> Date _mal -I R-(yln Permit Na )31VO(dG7-L/-1 <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/O,iDEWALK <br /> ❑ S�IEET <br /> ❑ 1�JOAO Is <br /> INSPECTION REQUESTED ON <br /> DATE TME <br /> ❑APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ CORRECTION REQUIRED <br /> ❑ Corrections listed below MUST BE MADE before work can be approved. <br /> O 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 /> oxo si ey✓ C'->�1� C- adlY dGW&Z- <br /> i <br /> Inspector <br /> Date <br />