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MENGINEERING I PUBLIC SERVICES <br />Ir INSPECTION REQUEST <br />Date:. Z---& i5w Perrnit:?� t4-0-S -_00,7- <br />Project I Owner: <br />Contractor: - <br />Site Address.. 2G3'_W/t3LNv.__ - - <br />TYPE OF INSPECTION REQUESTED <br />[_ Sewer Systems <br />Street / Road Base <br />Storm Drain Systems <br />_ Root / Footing Drains <br />Water Systems <br />❑ Pubkc Works Final <br />71 Curb / Gutter I Sidewalk <br />IxOthero,/l_ <br />DCo,v}�z�r,',uc <br />APPROVAL ( , PARTIAL APPROVAL r G <br />VIOLATION ❑ CORRECTION REQUESTED <br />Corrections listed below Ml 1ST BE MADE before work can be approved. <br />Please contact inspector and arrange for appointment. <br />J Was not able to perform inspection. <br />CALL (425) _ FOR REINSPECTION — 24 hour notice required <br />Inspector _ <br />trssne teNvr <br />