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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Address_- p C0> s% S- h/. <br />Contractor <br />Owner <br />Date '9-/4 —Cie. Time AO. C 9 <br />TYPE OF INSPECTION REQUESTED <br />❑ SIDE SEWER <br />❑ CURB/GUTTER/SIDEWALK <br />❑ STREET <br />INSPECTION REQUESTED ON __ _ ® _ <br />DATE INE <br />❑ APPROVAL ❑ PARTIAL APPROVAL <br />❑ VIOLATION XCORRECTION 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 />� � ✓� i / - ITS � <br />I! i <br />o,t� <br />-i9.' <br />Inspector e7l,,4f'r 6//�/Oi y� Dale 4 —/-¢ `04; <br />