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ENGINEERING / PUBLIC SERVICES <br />INSPECTION REQUEST <br />Dale: (Z Permit: yaJ /ail o.S - 0 0 <br />Project / Owner: <br />Contractor <br />Site Address. _ <br />TYPE OF INSPECTION REOUESTED <br />[� Sewer Systems ❑ Street / Road Base <br />❑ Storm Dram Systems Roof I Footing Drains <br />❑ Water Systems F Public Works Final <br />Curb / Gutter / Sidewalk <br />❑ Other: -- -- - ---- ---- <br />APPROVAL PARTIAL APPROVAL <br />[� VIOLATION CORRECTION REOUESTED <br />L-1 Corrections listed below MUST BE MADE before work can be approved. <br />Please contact in.oector and arrange for appointment. <br />❑ Was not able to perform inspection. <br />[ CALL (425) _ FOR REINSPECTION — 24 hour notice required <br />Inspector X _ 4� 7atr /- ZR _5 <br />EPSIR (009) DAIABAR. Wr <br />