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ENGINEERIt�IG / PUBLIC SERVICES <br />� INSPECTION REQUEST <br />Date: %/—� —/�Permit: <br />Project / Owner: <br />Contractor. �/ �/7�:�_5���/ ���X <br />Site Address:���--s- �� ����� ,.,�-� �� <br />TYPE OF INSPECTION REQUESTED <br />S stem ❑ Street / Road Base <br />�$torm Drain Systems�� ❑ Roof / Footing Drains <br />Water Systems ❑ Public Works Final <br />❑ Curb / Gutter / Sidewalk <br />❑ Other: <br />❑ PARTIAL APPROVAL <br />� CORRECTION RE�UESTED <br />❑ Corrections listed below MUST BE MADE before work can be approved. <br />❑ Please contact inspector and arrange for appoinlment. <br />❑ Was not able to peAorm inspection. <br />❑ CALL (425) FOR REINSPECTION — 24 hour notice required. <br />�/�CL���-�r��� ..1�!-Y� �� <br />F`�L��s�L�%�f'� <br />EPSIII (A/07) �� DATABAR. INC. <br />