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ENGINEERING / PUBLIC SERVICES <br />'�J INSPECTION REQUEST <br />� <br />Da e: /--/0 I T. Permit. �� � 3� /��`f- <br />�,,�/ �r � <br />Pro�ect / Owner: —/ v�/ � ! �-J`.� --- -- <br />Con�ractor:—�7y%D D — —_— — --- - <br />SiteAddress:. �_�-�_�__� �r_^E_�l`'�w�y -- - — <br />TYPE OF INSPECTION RFOU[STED <br />[_� Sewer Syslems I; Street ! Road Base <br />�_ I Storm Dram Systems . [, Roof / Foobng Drains <br />�I � Watcr Systems [,I public Wor4s Final <br />Curb / Gut;er � S�dewaik <br />;Xou,P� --�-`�-D.�- —� ✓L� l-iN_E _ _� i�+lS/D� t'Ij�L <br />[ APPROVAL [! PARTIAL APPROV�L <br />_; VIOLATION � _ CORRECTION REOUESTED <br />; � CorrecUons listetl below MUST BE MADE before work can be app�oved. <br />�] Plea;e coNact inspector and arrange lor appointment. <br />I_� lNas not able to perbrm mspection <br />I l CALL (425) FOR REINSPECTION -?: hour noUce reqwren <br />� - - — — -��-- - -- -- - - —. .. _ . . . <br />- � �I -X �_ l-� �T- Tb_ (/9-� _ <br />_ _ <br />S� /s f'"-���.j f�y D�v -- <br />---- ��T-/e Z.S'C� �sl _ f`�-ry�(L <br />-- ��/ �� _ �?�16✓k 7ZL c- - . �'l/l � /i.b L.� S., $- <br />./ <br />Inspector _ --�/� _ _2y�/v�� Dale �_ v �/ � <br />V— —'---- --�--'------ <br />fPSie <ei0o� OAtn�nl) IruG <br />