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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Date: s'�� Permit: <br />Project /.Owner: y /:,��/`�i��— <br />Contractor:' ��C�� —1����� <br />Site Address: �lo d s ��G L✓y <br />TYPE OF INSPECTION RE4UESTED <br />ewer Systems <br />Storm Drain Systems <br />❑ Water Systems <br />❑ Curb / Gutter / Sidewalk <br />❑ Other: <br />❑ Street / Road Base <br />❑ Roof / Footing Drains <br />❑ Public Works Final <br />❑ PARTIAL APPROVAL <br />❑ CORRECTION REQUESTED <br />❑ Corrections lisled below MUST BE MADE 6efore work can be approved. <br />❑ Please contact inspector and arrange for appointment. <br />❑ Was nol able to peAorm inspection. <br />❑ CALL (425) _ FOH REINSPECTION — 24 hour notice required. <br />�' A� ! ,�' / "'' / <br />�iii � � i1�� / " � " <br />1 t� i/' `_ � I r <br />EPSIR (6/W) �� • DAfABAR.INC. <br />