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ENGINEERING / PUBLIC SERVICES <br /> INSPECTION REQUEST <br /> Address c� .3 �4.��rn/w�UL� �� <br /> Contractor �t.�N/�-g"�'l `��'t�S <br /> Owner Y�L���' ' <br /> Date � �7 a� Permit No: r ��G��%('-�'��� <br /> TYPE OF INSPECTION REQUESTED <br /> ❑ SIDE SEWER <br /> ❑ CURB/GUTTER/SIDEWALK <br /> ❑ STREET ��� <br /> �(���'��z r- l��r�J s <br /> INSPECTION 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 /> , <br /> � <br /> Inspector Date � � � <br />