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.' • ' ' ' i'• .. ' � '— — . ' "_ <br />EMGINEERING / PUBLIC _'ERVICES� <br />' INSPECTiON REl'iUEST <br />, 7 L i�u�/3o6 - o I � <br />Date: ,! _L�- �3_. PermiC _�w !3 o(9—G�-�— <br />Pro�ecl / Owner: — — , �,r�.c� — - <br />CoMrador: � � DO _/�7A'✓L+'N €�ZS �'�f'�"�-F�'.T _ __ <br />SiteAddress: 2! �� G�l�1V_D �✓�' _..__ _ — <br />TVPE OF INSPECTION REOUEST[D <br />[ Sewer Systems ❑ Street / Road Base <br />�_ S1orm Drain Sys�ems ❑ Roof / Footmg Drains <br />�_� Waler Systems (J Public Works Final <br />[� Curb / Gutler / Sidewalk <br />'x Jther: _�'t/QK]r <br />�APPROVAL <br />� . VIOLATION <br />!'-a�2 _%P oF �XC. <br />LI PAATIAL APPROVAL <br />n CORfiECTION R[QU[STED <br />�� Correct�ons I�sled betow MUST BE M�DE belore work can be approved <br />C Please contacl inspectoi and arrange lor appoinlment. <br />❑ Was nol able to perform mspeciion <br />i_ I CALL (425) __ FOF REINSPECTION — 24 hour noticc reqwred. <br />' -- --- -/ �---, ---- -- - <br />-------��.__ ��-'_y�/ �� ----- — -- �— <br />/ / ' � , <br />j�'�'L' - �iiC81//�'%7P11%—�S _� ��/-- <br />��/��Dk� - 7-=�0- �3 <br />Inspeclor _ �% � /�7jy_1J _��w�" � _ Date Z 3/-1 3 - _ <br />EcSiR(6IOV1 � DA1a9AR.WC <br />