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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION RE�EST <br /> Address 4� � '� ��-����� <br /> Contractor ��'1� ��SjO����i�" <br /> Own�r l�2-�`/l1�' ���S��i.J/�- <br /> Date �l ZZ �� Time ` ��� <br /> TYPE OF INSPECTION REQUESTEG <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STRE�T � � � l � <br /> �f' r�2 f �CC1�'✓I'1�41� <br /> x '" '�_- ------ — -- ---- <br /> INSFEC, I��REQUESTED ON @ <br /> DATE TIME <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 /> �c�l �- � <br /> ` ��(. nrG C� � /�c o,rJ � <br /> .� �. <br /> S �L � � <br /> -� ��T�e� <br /> � <br /> � <br /> � 1 Z�i Q � <br /> Inspector_____ Date <br />